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Case report
peer-reviewed

Iatrogenic Circumflex Artery Stenosis Following Mitral Valve Repair



Abstract

Injury of the left circumflex coronary artery is a potentially serious complication of mitral valve surgery due to the proximity of the vessel to the posterior segment of the mitral annulus. Suture-related distortion of the artery with partial or subtotal occlusion is the most commonly implicated mechanism. Herein, we present a case of symptomatic iatrogenic circumflex coronary artery stenosis following mitral valve annuloplasty for degenerative mitral valve regurgitation.



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Case report
peer-reviewed

Iatrogenic Circumflex Artery Stenosis Following Mitral Valve Repair


Author Information

Tatiana Busu Corresponding Author

Heart and Vascular Institute, West Virginia University School of Medicine/Ruby Memorial Hospital

Fahad Alqahtani

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

Akram Kawsara

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

Mohamad Hijazi

Heart and Vascular Institute, West Virginia University School of Medicine/Ruby Memorial Hospital

Mohamad Alkhouli

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Iatrogenic Circumflex Artery Stenosis Following Mitral Valve Repair


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Case report
peer-reviewed

Iatrogenic Circumflex Artery Stenosis Following Mitral Valve Repair

Tatiana Busu">Tatiana Busu , Fahad Alqahtani">Fahad Alqahtani, Akram Kawsara">Akram Kawsara, Mohamad Hijazi">Mohamad Hijazi, Mohamad Alkhouli">Mohamad Alkhouli

  • Author Information
    Tatiana Busu Corresponding Author

    Heart and Vascular Institute, West Virginia University School of Medicine/Ruby Memorial Hospital

    Fahad Alqahtani

    Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

    Akram Kawsara

    Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

    Mohamad Hijazi

    Heart and Vascular Institute, West Virginia University School of Medicine/Ruby Memorial Hospital

    Mohamad Alkhouli

    Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: September 12, 2017

    DOI

    10.7759/cureus.1680

    Cite this article as:

    Busu T, Alqahtani F, Kawsara A, et al. (September 12, 2017) Iatrogenic Circumflex Artery Stenosis Following Mitral Valve Repair. Cureus 9(9): e1680. doi:10.7759/cureus.1680

    Publication history

    Received by Cureus: August 10, 2017
    Peer review began: August 29, 2017
    Peer review concluded: September 11, 2017
    Published: September 12, 2017

    Copyright

    © Copyright 2017
    Busu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Injury of the left circumflex coronary artery is a potentially serious complication of mitral valve surgery due to the proximity of the vessel to the posterior segment of the mitral annulus. Suture-related distortion of the artery with partial or subtotal occlusion is the most commonly implicated mechanism. Herein, we present a case of symptomatic iatrogenic circumflex coronary artery stenosis following mitral valve annuloplasty for degenerative mitral valve regurgitation.



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Tatiana Busu, Resident Physician

Heart and Vascular Institute, West Virginia University School of Medicine/Ruby Memorial Hospital

For correspondence:
tatianabusu@gmail.com

Fahad Alqahtani

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

Akram Kawsara

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

Mohamad Hijazi

Heart and Vascular Institute, West Virginia University School of Medicine/Ruby Memorial Hospital

Mohamad Alkhouli, Assistant Professor

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

Tatiana Busu, Resident Physician

Heart and Vascular Institute, West Virginia University School of Medicine/Ruby Memorial Hospital

For correspondence:
tatianabusu@gmail.com

Fahad Alqahtani

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

Akram Kawsara

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital

Mohamad Hijazi

Heart and Vascular Institute, West Virginia University School of Medicine/Ruby Memorial Hospital

Mohamad Alkhouli, Assistant Professor

Division of Cardiovascular Disease, West Virginia University School of Medicine/Ruby Memorial Hospital