Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-29T01:59:26.631Z Has data issue: false hasContentIssue false
  • English
  • Français

Coronary arterial compression treated by stenting after replacement of the mitral valve in a child

Published online by Cambridge University Press:  24 May 2005

Mervat A. Assaqqat ,
Walid Hassan  and
Ghassan Siblini
Mervat A. Assaqqat
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Walid Hassan
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Ghassan Siblini
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe the clinical history of a nine years old girl with Shone's syndrome. She underwent balloon angioplasty of the aortic coarctation in infancy, and later developed severe sub-aortic stenosis and moderate mitral valvar stenosis. The mitral valve was therefore replaced with a mechanical prosthesis, and the sub-aortic shelf was resected. Immediately after the operation, she developed signs of myocardial ischemia. Coronary angiography showed compression of the middle part of the circumflex artery by the mechanical prosthesis, the obstructed segment being successfully dilated using a coronary arterial stent.

Keywords

Myocardial infarctionmitral valvar prosthesismitral valvar disease
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 5 , October 2003 , pp. 475 - 478
Copyright
© 2003 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Roberts WC, Morrow AG. Compression of anomalous left circumflex coronary arteries by prosthetic valve fixation rings. J Thorac Cardiovasc Surg 1969; 57: 834–838.Google Scholar
Veinot JP, Acharya VC, Bedard P. Compression of anomalous circumflex coronary artery by a prosthetic valve ring. Ann Thorac Surg 1998; 66: 2093–2094.Google Scholar
Cornu E, Lacroix PH, Christides C, Laskar M. Coronary artery damage during mitral valve replacement. J Cardiovasc Surg (Torino) 1995; 36: 261–264.Google Scholar
Morin D, Fischer AP, Sohl BE, Sadeghi H. Iatrogenic myocardial infarction. A possible complication of mitral valve surgery related to anatomical variation of the circumflex coronary artery. Thorac Cardiovasc Surg 1982; 30: 176–179.Google Scholar
Mulpur AK, Kotidis KN, Nair UR. Partial circumflex artery injury during mitral valve replacement: late presentation. J Cardiovasc Surg (Torino) 2000; 41: 333–334.Google Scholar
Virmani R, Chun PK, Parker J, McAllister HA Jr. Suture obliteration of the circumflex coronary artery in three patients undergoing mitral valve operation. Role of left dominant or codominant coronary artery. J Thorac Cardiovasc Surg 1982; 84: 773–778.Google Scholar
Speziale G, Fattouch K, Ruvolo G, Fiorenza G, Papalia U, Marino B. Myocardial infarction caused by compression of anomalous circumflex coronary artery after mitral valve replacement. Minerva Cardioangiol 1998; 46: 455–456.Google Scholar
Ishii M, Ueno T, Ikeda H, et al. Sequential follow-up results of catheter intervention for coronary artery lesions after Kawasaki disease: quantitative coronary artery angiography and intravascular ultrasound imaging study. Circulation 2002; 105: 3004–3010.Google Scholar
Strobel GG, Trehan S, Compton S, Judd VE, Day RW, Etheridge SP. Successful pediatric stenting of a nonthrombotic coronary occlusion as a complication of radiofrequency catheter ablation. Pacing Clin Electrophysiol 2001; 24: 1026–1028.Google Scholar