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Anomalous circumflex artery: a benign variant generating a malignant potential after valve surgery.
Papakonstantinou, Nikolaos A; Leontiadis, Evangelos; Katsaridis, Sotirios D; Milonakis, Michael; Avgerinos, Dimitrios; Papadopoulos, Kyrillos; Malakos, Ioannis; Stavridis, Georgios T.
Afiliación
  • Papakonstantinou NA; 3 Cardiac Surgery Department, Onassis Cardiac Surgery Center, Athens, Greece.
  • Leontiadis E; Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Katsaridis SD; lnterventional Cardiology Department, Onassis Cardiac Surgery Center.
  • Milonakis M; 3 Cardiac Surgery Department, Onassis Cardiac Surgery Center, Athens, Greece.
  • Avgerinos D; 3 Cardiac Surgery Department, Onassis Cardiac Surgery Center, Athens, Greece.
  • Papadopoulos K; 3 Cardiac Surgery Department, Onassis Cardiac Surgery Center, Athens, Greece.
  • Malakos I; Department of Cardiac Surgery Intensive Care Unit, Onassis Cardiac Surgery Center, Athens, Greece.
  • Stavridis GT; lnterventional Cardiology Department, Onassis Cardiac Surgery Center.
Coron Artery Dis ; 34(5): 364-371, 2023 08 01.
Article en En | MEDLINE | ID: mdl-37139563
Coronary artery anomalies are a diverse group of congenital disorders presenting with highly variable clinical manifestations. The anomalous origin of left circumflex artery from the right coronary sinus following a retro-aortic trajectory is a well-recognized anatomic variation. Despite its benign course, it can prove lethal in association with valvular surgery. When single aortic valve replacement or combined with mitral valve replacement is performed, the aberrant coronary vessel may be compressed by or between the prosthetic rings triggering postoperative lateral myocardial ischemia. If left untreated, the patient is at risk of sudden death or myocardial infarction with its detrimental complications. Skeletonization and mobilization of the aberrant coronary artery is the most widely accepted intervention, but valve downsizing or concomitant surgical or transcatheter revascularization have also been described. However, large series are lacking from the literature. Therefore, no guidelines exist. This study is a thorough review of the literature concerning the aforementioned anomaly in association with valvular surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Prótesis Valvulares Cardíacas / Anomalías de los Vasos Coronarios / Seno Coronario Tipo de estudio: Guideline Límite: Humans Idioma: En Revista: Coron Artery Dis Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Prótesis Valvulares Cardíacas / Anomalías de los Vasos Coronarios / Seno Coronario Tipo de estudio: Guideline Límite: Humans Idioma: En Revista: Coron Artery Dis Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Reino Unido