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二尖瓣修复术后医源性旋支动脉狭窄

Iatrogenic Circumflex Artery Stenosis Following Mitral Valve Repair.

作者信息

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

机构信息

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

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

出版信息

Cureus. 2017 Sep 12;9(9):e1680. doi: 10.7759/cureus.1680.

DOI:10.7759/cureus.1680
PMID:29152437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5679764/
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.

摘要

左旋冠状动脉损伤是二尖瓣手术潜在的严重并发症，因为该血管靠近二尖瓣环的后段。与缝线相关的动脉扭曲伴部分或几乎完全闭塞是最常见的相关机制。在此，我们报告一例因退行性二尖瓣反流行二尖瓣环成形术后出现症状性医源性左旋冠状动脉狭窄的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d0/5679764/2c68f9d6d0d0/cureus-0009-00000001680-i01.jpg

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本文引用的文献

1
Iatrogenic occlusion of the circumflex artery and left ventricle pseudoaneurysm after mitral annuloplasty.
J Cardiol Cases. 2013 Dec 13;9(3):104-105. doi: 10.1016/j.jccase.2013.10.013. eCollection 2014 Mar.
2
Circumflex coronary artery injury after mitral valve surgery: A report of four cases and comprehensive review of the literature.
Catheter Cardiovasc Interv. 2017 Jan;89(1):78-92. doi: 10.1002/ccd.26449. Epub 2016 Feb 19.
3
Left circumflex coronary artery occlusion after mitral valve annuloplasty: "a stitch in time".
Tex Heart Inst J. 2012;39(1):104-7.
4
Iatrogenic circumflex coronary lesion in mitral valve surgery: case report and review of the literature.
Tex Heart Inst J. 2008;35(2):179-83.

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