Anomalous Origin of the Circumflex Artery: An Underestimated Threat During Mitral Valve Operation Matteo Pettinari, MD, Herbert Gutermann, MD, Christiaan.

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Presentation transcript:

Anomalous Origin of the Circumflex Artery: An Underestimated Threat During Mitral Valve Operation Matteo Pettinari, MD, Herbert Gutermann, MD, Christiaan Van Kerrebroeck, MD, Robert Dion, MD The Annals of Thoracic Surgery Volume 100, Issue 4, Pages 1437-1439 (October 2015) DOI: 10.1016/j.athoracsur.2014.12.053 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Preoperative coronary angiogram with evidence of the abnormal origin of the left circumflex artery (B) Postoperative coronary angiogram with occlusion of the left circumflex artery (black arrow). White arrows indicate the anterolateral (Ac) and posteromedial (Pc) commissure of the mitral valve. The Annals of Thoracic Surgery 2015 100, 1437-1439DOI: (10.1016/j.athoracsur.2014.12.053) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Schematic representation of the retroaortic trajectory of the left circumflex artery. (B) Postoperative computed tomographic scan with evidence of the patent proximal left circumflex artery (white arrow) and its vicinity with the anterolateral (Ac) and posteromedial (Pc) commissure of the mitral valve (grey arrows). (CCA = circumflex coronary artery; LM = left main artery; M = mitral valve; T = tricuspid valve; PDA = posterior descending artery; PT = pulmonary trunk; RCA = right coronary artery.) The Annals of Thoracic Surgery 2015 100, 1437-1439DOI: (10.1016/j.athoracsur.2014.12.053) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions