Compression of an Anomalous Left Circumflex Artery After Aortic and Mitral Valve Replacement Prashant Vaishnava, MD, Robert Pyo, MD, Farzan Filsoufi,

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Compression of an Anomalous Left Circumflex Artery After Aortic and Mitral Valve Replacement Prashant Vaishnava, MD, Robert Pyo, MD, Farzan Filsoufi, MD, Samin Sharma, MD The Annals of Thoracic Surgery Volume 92, Issue 5, Pages 1887-1889 (November 2011) DOI: 10.1016/j.athoracsur.2011.04.095 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative angiogram reveals anomalous origin of the left circumflex artery from the right sinus of Valsalva and its course about the aortic annulus. The Annals of Thoracic Surgery 2011 92, 1887-1889DOI: (10.1016/j.athoracsur.2011.04.095) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Postoperative surface electrocardiogram reveals a junctional rhythm with ST-segment depressions in V2-V3. The Annals of Thoracic Surgery 2011 92, 1887-1889DOI: (10.1016/j.athoracsur.2011.04.095) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Postoperative coronary angiogram demonstrating subtotal occlusion of the proximal left circumflex artery. (B) Faint visualization of the anomalous left circumflex artery, consistent with subtotal occlusion. The Annals of Thoracic Surgery 2011 92, 1887-1889DOI: (10.1016/j.athoracsur.2011.04.095) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions