Conflict of interest: Prof Banning is partially funded by the NIHR Oxford Biomedical research centre and has previously received research funding from Boston Scientific Corp.
E-ONLY: Coronary Artery Disease
Two rings too tight: Sequential emergency PCI for hemodynamic and arrhythmic complications of mitral and tricuspid valve repair
Version of Record online: 17 AUG 2013
Copyright © 2013 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 83, Issue 1, pages E73–E76, 1 January 2014
How to Cite
Patel, N., Cuculi, F. and Banning, A. P. (2014), Two rings too tight: Sequential emergency PCI for hemodynamic and arrhythmic complications of mitral and tricuspid valve repair. Cathet. Cardiovasc. Intervent., 83: E73–E76. doi: 10.1002/ccd.25126
- Issue online: 18 DEC 2013
- Version of Record online: 17 AUG 2013
- Accepted manuscript online: 15 JUL 2013 07:08AM EST
- Manuscript Accepted: 6 JUL 2013
- Manuscript Revised: 1 MAY 2013
- Manuscript Received: 26 FEB 2013
- cardiac valve annulopasty;
- cardiac surgery;
- intra-operative complication;
- postoperative complication;
- coronary intervention
New intra-operative mitral regurgitation is an unusual complication of tricuspid annuloplasty and maybe ischemic in etiology as a consequence of right coronary artery distortion. We report the case of a woman in whom this was treated by mitral valve annuloplasty with ensuing hemodynamic instability and ventricular arrhythmia secondary to a new left circumflex occlusion. Injury/distortion to either of the coronary arteries running in the atrio-ventricular groove is rare, and described only several times. To our knowledge, concurrent right coronary artery and circumflex artery injury/distortion has not been reported previously. © 2013 Wiley Periodicals, Inc.