Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis
The growth in percutaneous transluminal devices has enabled operators to tackle more complex, native, and post-bypass surgery anatomy. However, complications such as coronary artery dissection, coronary perforation, retrograde aortic dissection, arrhythmias, and acute coronary syndrome still occur w...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/8676572 |
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| _version_ | 1832548967744798720 |
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| author | Weiting Huang Khaled Mohamed Emadeldin Moheb Hammad Victor Tar Toong Chao Khung Keong Yeo |
| author_facet | Weiting Huang Khaled Mohamed Emadeldin Moheb Hammad Victor Tar Toong Chao Khung Keong Yeo |
| author_sort | Weiting Huang |
| collection | DOAJ |
| description | The growth in percutaneous transluminal devices has enabled operators to tackle more complex, native, and post-bypass surgery anatomy. However, complications such as coronary artery dissection, coronary perforation, retrograde aortic dissection, arrhythmias, and acute coronary syndrome still occur with resulting mortality rates of up to 4.2% in complex interventions. Perforation of the circumflex artery is of particular interest in view of its position and relation to the surrounding cardiac structures. This is a site of potential fluid collection, and as the left atrium is fixed to the parietal pericardium at the entry of the pulmonary veins, fluid in the oblique sinus can accumulate enough pressure to compress the left atrium and the coronary sinus. We present a case of left circumflex artery perforation which demonstrates the physiologic complications of coronary sinus and left atrial compression and the resultant functional mitral stenosis. |
| format | Article |
| id | doaj-art-adacf99e7a7c4fddbd16fbe04a89436b |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-adacf99e7a7c4fddbd16fbe04a89436b2025-02-03T06:12:38ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/86765728676572Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral StenosisWeiting Huang0Khaled Mohamed Emadeldin Moheb Hammad1Victor Tar Toong Chao2Khung Keong Yeo3National Heart Centre Singapore, SingaporeNational Heart Institute, Cairo, EgyptNational Heart Centre Singapore, SingaporeNational Heart Centre Singapore, SingaporeThe growth in percutaneous transluminal devices has enabled operators to tackle more complex, native, and post-bypass surgery anatomy. However, complications such as coronary artery dissection, coronary perforation, retrograde aortic dissection, arrhythmias, and acute coronary syndrome still occur with resulting mortality rates of up to 4.2% in complex interventions. Perforation of the circumflex artery is of particular interest in view of its position and relation to the surrounding cardiac structures. This is a site of potential fluid collection, and as the left atrium is fixed to the parietal pericardium at the entry of the pulmonary veins, fluid in the oblique sinus can accumulate enough pressure to compress the left atrium and the coronary sinus. We present a case of left circumflex artery perforation which demonstrates the physiologic complications of coronary sinus and left atrial compression and the resultant functional mitral stenosis.http://dx.doi.org/10.1155/2018/8676572 |
| spellingShingle | Weiting Huang Khaled Mohamed Emadeldin Moheb Hammad Victor Tar Toong Chao Khung Keong Yeo Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis Case Reports in Cardiology |
| title | Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis |
| title_full | Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis |
| title_fullStr | Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis |
| title_full_unstemmed | Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis |
| title_short | Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis |
| title_sort | left circumflex artery rupture with left atrial tamponade and functional mitral stenosis |
| url | http://dx.doi.org/10.1155/2018/8676572 |
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