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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 on theme: "Anomalous Origin of the Circumflex Artery: An Underestimated Threat During Mitral Valve Operation  Matteo Pettinari, MD, Herbert Gutermann, MD, Christiaan."— Presentation transcript:

1 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 (October 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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