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J Thorac Cardiovasc Surg 2009;138:1443-1444
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Right coronary occlusion during tricuspid band annuloplasty

Antonio M. Calafiore, MDa,*, Angela L. Iacò, MDa, Giovanni Bartoloni, MDb, Michele Di Mauro, MDa

a Department of Cardiac Surgery, University of Catania, Catania, Italy
b Department of Cardiac Pathology, University of Catania, Catania, Italy

Received for publication May 2, 2009; accepted for publication June 4, 2009.

* Address for reprints: Antonio M. Calafiore, MD, Professor of Cardiac Surgery, University of Catania, Ferarrotto Hospital, Via Citelli, 95124, Catania, Italy. (Email: calafiore@unich.it).

The first 20% of the full text of this article appears below.


   Introduction
 
Injury or occlusion of the right coronary artery (RCA) is a rare complication of tricuspid valve repair. We report a patient in whom the RCA was occluded by a suture during tricuspid band annuloplasty.


   Clinical Summary
 
A 38-year-old man was referred to the University of Catania for severe mitral regurgitation caused by bacterial endocarditis in a myxomatous mitral valve, with prolapse and chordal rupture of the posterior leaflet. The patient was symptomatic for effort dyspnea. A preoperative echocardiogram showed a dilated left ventricle with 62% ejection fraction. Moderate to severe tricuspid regurgitation was present, with a dilated annulus (37 mm) and right ventricle (43 mm). Coronary angiography results were normal. The surgical procedure included mitral repair (longitudinal plication of the posterior leaflet, suturing P1-P2 and P2-P3, positioning of artificial chords and mitral annuloplasty with a . . . [Full Text of this Article]






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