With the impressive average of 150 mitral repairs annually for the last 16 years (possibly a world record, even more impressive given the population of Portugal), the Coimbra team led by Antunes reflects on six cases of circumflex artery injury, mostly in non-right dominant anatomy as expected.
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Circumflex Artery Injury During Mitral Valve Repair: Not Well Known, Perhaps Not So Infrequent—Lessons Learned From a 6-Case Experience
Submitted by: Aristotle Protopapas
Source: The Journal of Thoracic and Cardiovascular Surgery
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Author(s): Gonçalo F. Coutinho, Filipe Leite, Manuel J. Antunes

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Dr. Frank Spencer, NYU Surgery Chair, taught this to his Cardiovascular Surgery Residents during my years there in 1971-1973. I guess there is nothing new under the sun!!!