Case Report: Optical coherence tomography to guide PCI of iatrogenic injury of the circumflex artery after minimally invasive mitral valve repair

We present a case of a 42-year-old man who suffered an iatrogenic injury to his left circumflex (Cx) coronary artery after mitral valve (MV) repair surgery. After the patient suffered from myocardial infarction without ST-segment elevation following minimally invasive MV surgery, we performed repeat...

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Bibliographic Details
Published in:	Frontiers in cardiovascular medicine Vol. 10
Main Authors:	Borzanovic, Dusan, Ilic, Ivan, Nikolic, Dusan, Stojanovic, Ivan
Format:	Journal Article
Language:	English
Published:	Frontiers Media S.A 20-10-2023
Subjects:	Cardiovascular Medicine circumflex complication coronary intervention minimally invasive surgery mitral valve
Online Access:	Get full text
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Summary:	We present a case of a 42-year-old man who suffered an iatrogenic injury to his left circumflex (Cx) coronary artery after mitral valve (MV) repair surgery. After the patient suffered from myocardial infarction without ST-segment elevation following minimally invasive MV surgery, we performed repeated coronary angiography and optical coherence tomography (OCT), which revealed severe coronary stenosis of the dominant Cx caused by intramural hematoma. In addition, we proceeded with percutaneous coronary intervention and stent implantation.
Bibliography:	Edited by: Tommaso Gori, Johannes Gutenberg University Mainz, Germany Abbreviations Cx, circumflex artery; OCT, optical coherence tomography; NYHA, New York Heart Association; MV, mitral valve; LVEF, left ventricular ejection fraction; PCI, percutaneous coronary intervention; TTE, transthoracic echocardiography; TEE, transesophageal echocardiography; MR, mitral regurgitation; 3D, three-dimensional; mCAD, minimum coronary annular distance; DAPT, dual antiplatelet therapy. Reviewed by: Faizus Sazzad, National University of Singapore, Singapore Ilija Djordjevic, University Hospital of Cologne, Germany Antonio Maria Calafiore, Henry Dunant Hospital, Greece
ISSN:	2297-055X 2297-055X
DOI:	10.3389/fcvm.2023.1270541