Work

Case report of mitral valve replacement in a single coronary artery patient: devil is hidden in the details

Year: 2025

Type: article

Abstract: Background: Single coronary artery (SCA) is a rare congenital anomaly that may have serious clinical consequences in different clinical settings despite often being asymptomatic. Case summary: We report a case of a 75-year-old patient with a SCA originating from the right sinus of Valsalva presenting for pre-operative assessment for mitral valve (MV) stenosis. The patient developed cardiogenic shock post MV replacement surgery on grounds of iatrogenic occlusion of the ectopic left main coronary artery which was treated with a percutaneous revascularization procedure. Discussion: SCA represents a major anatomical variant that can significantly impact clinical outcomes, particularly during cardiac surgery. An abnormal coronary anatomy poses technical challenges, due to potential inadvertent injury or compression of the anomalous artery relative to the extent of the myocardium at risk.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytaf668

Authors: Vasilios Koutroulos, Georgios Chalikias, Dimitrios Stakos, Konstantinos Lampropoulos, Dimitrios Tziakas

Institutions: Democritus University of Thrace, University Hospital of Alexandroupolis

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $815