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A Novel Hybrid Approach to Iatrogenic Circumflex Artery Injury after Mitral Repair.

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Iatrogenic coronary injury after mitral repair is related to blind annuloplasty suture ligation or kinking of the circumflex artery (CxA) and can present with early ST segment changes, malignant ventricular… Click to show full abstract

Iatrogenic coronary injury after mitral repair is related to blind annuloplasty suture ligation or kinking of the circumflex artery (CxA) and can present with early ST segment changes, malignant ventricular arrhythmias and segmental wall motion abnormalities. Corrective treatment is imperative to avoid myocardial infarction and can include removal of the annuloplasty ring or CxA bypass. We present a novel hybrid approach for the rapid diagnosis and management of iatrogenic CxA injury after mitral repair.

Keywords: mitral repair; injury mitral; circumflex artery; novel hybrid

Journal Title: Seminars in thoracic and cardiovascular surgery
Year Published: 2019

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