Mitral valve repair complicated by left circumflex coronary artery occlusion: The vital role of the anesthesiologist

Authors

Andres Bacigalupo Landa
Jason Hoyos
Jayanand D'Mello

Publication Date

1-1-2021

Journal

Annals of Cardiac Anaesthesia

DOI

10.4103/aca.ACA_190_19

PMID

34269282

PMCID

PMC8404581

PubMedCentral® Posted Date

7-9-2021

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Anesthesiologists, Cardiac Surgical Procedures, Coronary Vessels, Humans, Male, Middle Aged, Mitral Valve, Mitral Valve Insufficiency, 5-lead electrocardiogram, intraoperative transesophageal echocardiography, left circumflex coronary artery occlusion, mitral valve repair

Abstract

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.