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4 . 2022

Clinical case report of circumflex artery occlusion after repair of the bicuspid aortic valve

Abstract

The article presents a clinical case of complication of bicuspid aortic valve repair. The patient underwent external annuloplasty and plication of the aortic valve leaflets through ministernotomy. After the completion of the main stage of the intervention, the restoration of cardiac activity and departure to the intensive care unit, the patient developed signs of myocardial infarction. It was decided to perform an emergency coronary angiography, during which an occlusion of the circumflex artery was detected, which was not passable by the conductor. In the operating room, the annululasty strip in the projection of the left coronary artery was dismantled with good hemodynamic and clinical results. The presented clinical case indicates the need to pay special attention to the variant anatomy of the coronary arteries, which is often observed in patients with bicuspid aortic valve. It is possible to avoid such complications by performing preoperative coronary angiography in all patients planning bicuspid aortic valve repair.

Keywords:case report; bicuspid aortic valve; aortic regurgitation; minimally invasive cardiac surgery

Funding. The research was carried out within the support of the grant of the Russian Federation President No. 075-15-2022-823.
Conflict of interest. The authors declare no conflict of interest.
For citation: Karadzha A.V., Sharifulin R.M., Pivkin A.N., Bogachev-Prokophiev A.V. Clinical case report of circumflex artery occlusion after repair of the bicuspid aortic valve. Clinical and Experimental Surgery. Petrovsky Journal. 2022; 10 (4): 67–72. DOI: https://doi.org/10.33029/2308-1198-2022-10-4-67-72  (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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