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Left ventricular-coronary sinus shunt through a septal aneurysm after mitral valve re-replacement
S Tokunaga1, M Yoshitoshi, H Mayumi
1Division of Cardiovascular Surgery, Shimonoseki Municipal Hospital, Yamaguchi, Japan.
Insights
A rare complication after heart valve surgery, a left ventricular-coronary sinus communication, was successfully treated. This involved surgically repairing a dissecting septal aneurysm and closing the abnormal connection.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Case Reports
Background:
- Redo mitral valve replacement is a complex procedure.
- Complications can arise, including rare cardiac communications.
- Ventricular septal aneurysms are uncommon cardiac abnormalities.
Observation:
- A patient developed a left ventricular-coronary sinus communication.
- This communication arose through a dissecting ventricular septal aneurysm.
- The condition occurred post-redo mitral valve replacement.
Findings:
- The communication's outlet was at the coronary sinus ostium.
- Surgical intervention involved a right atriotomy.
- The aneurysm was opened and addressed via its outlet orifice.
Implications:
- Successful surgical management of this rare complication is demonstrated.
- This case highlights the importance of recognizing and treating complex post-operative cardiac issues.
- Effective surgical strategies can be employed for ventricular septal aneurysms with coronary sinus communication.
Abstract:
We describe a case in which a left ventricular-coronary sinus communication through a dissecting ventricular septal aneurysm developed after a redo mitral valve replacement. The outlet orifice of the communication was located in the side wall of the ostium of the coronary sinus. Both the communication and the aneurysm were successfully dealt with by performing a right atriotomy and by opening the aneurysm from its outlet orifice.