Post-operative External Compression of the Right Coronary Artery Following Triple Valve Surgery
Year: 2025
Type: article
Study design: Case Report
Abstract: We describe a 66-year-old male with right ventricular dysfunction, elevated troponins, and ST segment changes on electrocardiogram following a triple valve repair. Coronary angiography revealed a discrete right coronary artery stenosis that was refractory to multiple angioplasty attempts. Intravascular ultrasound showed no signs of intraluminal plaque or thrombosis. Recognizing the possibility of an external compressive process, the patient’s chest tubes were removed, successfully resolving the stenosis. This case emphasizes the importance of thoughtful placement of any temporary material around the heart and the need for a high index of suspicion for external compression on native coronary anatomy.
DOI: 10.25259/jccc_9_2025
Authors: Douglas Tran, Kevin Ho, Aakash Shah, David Zapata
Institution: University of Maryland Medical Center
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4409443351