Situation Awareness for Circumflex Artery Injury During Mitral Valve Surgery.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
11 2019
Historique:
received: 27 09 2018
revised: 18 01 2019
accepted: 19 02 2019
pubmed: 1 4 2019
medline: 27 3 2020
entrez: 1 4 2019
Statut: ppublish

Résumé

Injury of the circumflex artery (Cx) during mitral valve surgery is a rare and underrecognized life-threatening complication. A retrospective analysis of patients undergoing mitral valve operations at 2 centers was conducted. Five mitral valve operations are described. After diagnosis of Cx injury, 2 patients were treated by stent implantation, 1 by coronary bypass to the Cx, and 1 by repositioning the responsible annular stitches. In another patient, the Cx injury was not treated and was diagnosed at autopsy. There were no deaths in patients whose Cx injury was promptly treated. Cx injury can be successfully managed when it is treated on time.

Identifiants

pubmed: 30928545
pii: S0003-4975(19)30410-2
doi: 10.1016/j.athoracsur.2019.02.054
pii:
doi:

Types de publication

Case Reports Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e329-e332

Informations de copyright

Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Germán A Fortunato (GA)

Department of Cardiovascular Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: german.fortunato@hospitalitaliano.org.ar.

Martin Misfeld (M)

University Clinic of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.

Roberto Battellini (R)

Department of Cardiovascular Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Alberto Domenech (A)

Department of Cardiovascular Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Jens Garbade (J)

University Clinic of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.

Michael A Borger (MA)

University Clinic of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.

Vadim Kotowicz (V)

Department of Cardiovascular Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

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