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Pellicano, M; Toth, G; Di Gioia, G; Rusinaru, D; Wijns, W; Barbato, E; De Bruyne, B; Degrieck, I; Van Mieghem, C.
Unrecognized anomalous left circumflex coronary artery arising from right sinus of Valsalva: a source of perioperative complication.
J Cardiovasc Med (Hagerstown). 2016; 17 Suppl 2(4): e228-e230-e228-e230. Doi: 10.2459/JCM.0000000000000251 (- Case Report)
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Co-Autor*innen der Med Uni Graz
Toth-Gayor Gabor
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Abstract:
: In this article we provide a very interesting and challenging PCI of unrecognized anomalous left circumflex coronary artery (LCx) arising from right sinus of Valsalva (RSV) after aortic valve replacement (AVR).This case presentation focuses the attention on important criteria for recognition of abnormal LCx coronary artery, that is the most frequent congenital coronary variant. Failure to demonstrate the anomaly can lead to erroneous interpretation of coronary anatomy with fatal complication in case of aortic valve replacement, as a consequence of accidental ligation or compression of the anomalous vessel. This procedure, especially in the presence of a bioprosthesis aortic valve just implanted, constitutes a challenge for the interventional cardiologist and at the same time a question mark regarding the strategy, choice of guiding catheter, guide wire, and type of stent to use.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Angioplasty, Balloon, Coronary - instrumentation
Aortic Valve - diagnostic imaging
Aortic Valve - surgery
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - surgery
Bioprosthesis -
Coronary Angiography -
Coronary Occlusion - diagnostic imaging
Coronary Occlusion - etiology
Coronary Occlusion - therapy
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnostic imaging
Diagnostic Errors -
Drug-Eluting Stents -
Female -
Heart Valve Prosthesis -
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Humans -
Predictive Value of Tests -
Severity of Illness Index -
Sinus of Valsalva - abnormalities
Sinus of Valsalva - diagnostic imaging
Treatment Outcome -
Ventricular Fibrillation - diagnosis
Ventricular Fibrillation - etiology

Find related publications in this database (Keywords)
anomalous origin of left circumflex coronary artery
aortic valve replacement
percutaneous coronary intervention
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