Management of ventricular perforation during revascularization of an intramyocardial left anterior descending artery

Nwokocha, Chinwe; Al‐Dossari, Ghannam A.; Conti, Vincent R.; DeAnda, Abe; Roughneen, Patrick T.

doi:10.1111/jocs.13228

Cited by 2 publications

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although left ventricular crypts have been very well documented [6][7][8][9] , RV crypts have not been described before. Knowledge of their existence is important to avoid complications as described in this report and those described during grafting an intramural coronary 13 . The embryology of the crypts and their relation to HCM and ventricular non compaction requires further study.…”

Section: Comment and Lessons Learnedmentioning

confidence: 94%

Right ventricular crypts in a myocardial bridge: Relevance to surgical relief

Yacoub

Nagy

Hosny

et al. 2020

gcsp

View full text Add to dashboard Cite

Crypts are very thin walled invaginations from the cavity of the left ventricle into the compact myocardium. With the advent and increased application of multimodality imaging, crypts are being increasingly identified in both normal individuals and patients, with various conditions including HCM, before and after the development of LV hypertrophy, LV non-compaction and hypertensive heart disease. to date crypts have not been described in the right ventricle. We here describe for the first time, RV crypts which were extending into a myocardial bridge, in a patient with HCM and dynamic obstruction of the LAD coronary artery. We also document and discuss the serious complications which can arise from crypts, and highlight the importance of preoperative identification of crypts. Further studies are required to determine the fetal origin of crypts and their clinical significance

show abstract