Primary Percutaneous Coronary Intervention of Anomalous Circumflex Artery after Mitral Valve Replacement | Zendy

Rafael Alexandre MeneguzMoreno | Zendy; Antônio de Castro Filho | Zendy; Mário Barbosa Guedes Nunes | Zendy; Emerson Gonçalo Pereira Filho | Zendy; Ricardo A. Costa | Zendy; Alexandre Abizaid | Zendy

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Primary Percutaneous Coronary Intervention of Anomalous Circumflex Artery after Mitral Valve Replacement

Author(s) -

Rafael Alexandre MeneguzMoreno,

Antônio de Castro Filho,

Mário Barbosa Guedes Nunes,

Emerson Gonçalo Pereira Filho,

Ricardo A. Costa,

Alexandre Abizaid

Publication year - 2016

Publication title -

international journal of cardiovascular sciences

Language(s) - English

Resource type - Journals

eISSN - 2359-5647

pISSN - 2359-4802

DOI - 10.5935/2359-4802.20160004

Subject(s) - medicine , circumflex , cardiology , percutaneous coronary intervention , percutaneous , artery , myocardial infarction

On physical examination: holosystolic mitral murmur (3+/6+) spreading to the axilla with no other relevant changes. Preoperative electrocardiogram (ECG) with atrial fibrillation, right branch conduction disturbance, axis at +60o. Preoperative echocardiography: severe biatrial increase, severe eccentric reflux, maximum gradient of 20 mmHg, average gradient of 7 mmHg and valve area of 1.7 cm2, preserved biventricular function with left ventricular ejection fraction (LVEF) of 60%, pulmonary artery systolic pressure (PASP) of 71 mmHg.

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