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Right coronary artery kinking after tricuspid valve annuloplasty: a case report.


ABSTRACT:

Background

Right coronary artery (RCA) injury is a rare complication of valvular surgery. However, complications should be considered, due to the significant clinical consequences. Identifying the coronary injury type and understanding the underlying pathophysiological mechanisms is essential to managing these complications.

Case summary

The case of a 59-year-old man who underwent conservative mitral valve surgery with tricuspid valve annuloplasty is presented. The early post-operative period was complicated by acute coronary syndrome with inferior persistent ST-segment elevation. A coronary angiogram confirmed critical RCA hazy lesions, raising the suspicion of coronary kinking. To confirm the underlying mechanism for these lesions and determine the best treatment strategy,

SUBMITTER: Florence J 

PROVIDER: S-EPMC10580373 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature