Late Presentation of Recurrent Monomorphic Ventricular Tachycardia following Minimally Invasive Mitral Valve Repair due to Epicardial Injury. (6th January 2014)

• Record Type: Journal Article
• Authors: South, Harry L.; Osoro, Moses; Overly, Tjuan
• Other Names: Kasai T. Academic Editor.; Minardi G. Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2014(2014)
• Publication Date: 2014-01-06
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2014/976494
• Languages: English
• ISSNs: 2090-6404

Abstract

Abstract : We report a 73-year-old male with late onset monomorphic ventricular tachycardia following mitral valve repair (MVR). Typically, injury to epicardial arteries following mitral valve repair/replacement presents immediately as ventricular tachycardia/fibrillation, difficulty weaning from cardiopulmonary bypass, worsening ECG changes, increasing cardiac biomarkers, or new wall motion abnormalities. Our case illustrates a "late complication" of a distorted circumflex artery following mitral valve repair and the importance of early diagnostic angiography and percutaneous intervention.