Key result
Intraoperative transesophageal echocardiography and 5-lead EKG enabled the prompt diagnosis and successful stenting of a left circumflex coronary artery occlusion complicating a mitral valve repair.
Why the study?
The anatomical proximity of the mitral valve to the left circumflex coronary artery risks occlusion during repair or replacement, carrying potentially high morbidity and mortality.
Case Report (n=1)
No
Highlights the risk of left circumflex coronary artery occlusion during minimally invasive mitral valve repair and the importance of prompt diagnosis.
Vigilance for LCx occlusion is warranted after minimally invasive mitral repair; leaves open incidence and prevention data needs.
The anatomical relationship between the mitral valve and the left circumflex coronary artery places this vessel at risk for occlusion during mitral valve repair or replacement. In view of the potential high morbidity and mortality of this complication, the anesthesiologist has a vital role in its prompt diagnosis. We present the case of a 47-year-old man who underwent a minimally invasive mitral valve repair, which was complicated by left circumflex coronary artery occlusion.
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Landa et al. (2021) conducted a case report in Severe mitral regurgitation (n=1). Minimally invasive mitral valve repair was evaluated. Intraoperative transesophageal echocardiography and 5-lead EKG enabled the prompt diagnosis and successful stenting of a left circumflex coronary artery occlusion complicating a mitral valve repair.
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