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二尖瓣置换术后迟发性左回旋支冠状动脉损伤：一例报告及文献复习

Left circumflex coronary artery injury following mitral valve replacement with late presentation: A case report and literature review.

作者信息

Nassereddine Zahra, Kazem Hassan, Moussa Malek, Saab Mohamad

机构信息

Beirut Cardiac Institute, Cardiology Division, Beirut, Lebanon.

Beirut Cardiac Institute, Cardiovascular and Thoracic Surgery Division, Beirut, Lebanon.

出版信息

J Cardiovasc Thorac Res. 2022;14(4):268-271. doi: 10.34172/jcvtr.2022.30551. Epub 2022 Dec 31.

DOI:10.34172/jcvtr.2022.30551
PMID:36699558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9871163/
Abstract

Mitral valve replacement complications are more and more recognized due to the novel surgical techniques and the tendency to report such complications by young cardiologists and surgeons. Circumflex coronary artery injury is a rare complication that occurs during mitral valve replacement or repair by multiple mechanisms. We present the case of a 57-year-old female who underwent mitral valve replacement and ended up with heart failure after circumflex artery occlusion and failure of percutaneous coronary intervention.

摘要

由于新颖的外科技术以及年轻心脏病专家和外科医生报告此类并发症的趋势，二尖瓣置换术并发症越来越受到关注。回旋支冠状动脉损伤是二尖瓣置换或修复过程中通过多种机制发生的一种罕见并发症。我们报告一例57岁女性患者，该患者接受二尖瓣置换术后，因回旋支动脉闭塞及经皮冠状动脉介入治疗失败而最终出现心力衰竭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/f5dd11ad7f12/jcvtr-14-268-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/c526fa4ea674/jcvtr-14-268-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/0b9dc77c0987/jcvtr-14-268-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/5c2dbe967d3b/jcvtr-14-268-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/f5dd11ad7f12/jcvtr-14-268-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/c526fa4ea674/jcvtr-14-268-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/0b9dc77c0987/jcvtr-14-268-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/5c2dbe967d3b/jcvtr-14-268-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ae/9871163/f5dd11ad7f12/jcvtr-14-268-g004.jpg

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本文引用的文献

1
Iatrogenic circumflex coronary artery injury after mitral valve replacement.二尖瓣置换术后医源性旋支冠状动脉损伤
Postepy Kardiol Interwencyjnej. 2021 Sep;17(3):315-316. doi: 10.5114/aic.2021.109235. Epub 2021 Sep 20.
2
Mitral valve annulus and circumflex artery: In vivo study of anatomical zones.二尖瓣环与回旋支动脉：解剖区域的体内研究
JTCVS Tech. 2020 Sep 22;4:122-129. doi: 10.1016/j.xjtc.2020.09.013. eCollection 2020 Dec.
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Mitral valve repair complicated by left circumflex coronary artery occlusion: The vital role of the anesthesiologist.
二尖瓣修复术并发左回旋支冠状动脉闭塞：麻醉师的重要作用。
Ann Card Anaesth. 2021 Jul-Sep;24(3):405-407. doi: 10.4103/aca.ACA_190_19.
4
Left Circumflex Artery Injury After Mitral Valve Surgery: An Algorithm Management Proposal.左回旋支损伤后二尖瓣手术:一种算法管理建议。
Ann Thorac Surg. 2021 Mar;111(3):899-904. doi: 10.1016/j.athoracsur.2020.05.160. Epub 2020 Jul 31.
5
Circumflex coronary artery injury after mitral valve surgery: A report of four cases and comprehensive review of the literature.二尖瓣手术后回旋支冠状动脉损伤：4例报告及文献综述
Catheter Cardiovasc Interv. 2017 Jan;89(1):78-92. doi: 10.1002/ccd.26449. Epub 2016 Feb 19.
6
A case of percutaneous coronary intervention for treatment of iatrogenic chronic total occlusion of the left circumflex artery after mitral valve repair.1例经皮冠状动脉介入治疗二尖瓣修复术后医源性左旋支慢性完全闭塞病例
Cardiovasc Interv Ther. 2017 Apr;32(2):146-150. doi: 10.1007/s12928-016-0379-z. Epub 2016 Feb 5.
7
Percutaneous coronary intervention of an iatrogenic occlusion of the circumflex coronary artery after mitral valve replacement.经皮冠状动脉介入治疗二尖瓣置换术后回旋支动脉医源性闭塞。
Eur Heart J Acute Cardiovasc Care. 2020 Aug;9(5):NP1-NP2. doi: 10.1177/2048872615623066. Epub 2015 Dec 18.
8
Left circumflex coronary artery occlusion after mitral valve annuloplasty: "a stitch in time".二尖瓣环成形术后左旋支冠状动脉闭塞：“及时一针”
Tex Heart Inst J. 2012;39(1):104-7.
9
Mitral valve repair complicated by iatrogenic coronary artery lesion treated with percutaneous coronary intervention.二尖瓣修复术并发医源性冠状动脉损伤，采用经皮冠状动脉介入治疗。
J Cardiovasc Med (Hagerstown). 2011 Mar;12(3):180-1. doi: 10.2459/JCM.0b013e3283336d15.
10
Iatrogenic circumflex coronary lesion in mitral valve surgery: case report and review of the literature.二尖瓣手术中发生医源性旋支冠状动脉病变：病例报告及文献复习
Tex Heart Inst J. 2008;35(2):179-83.