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

Borzanovic, Dusan; Ilic, Ivan; Nikolic, Dusan; Stojanovic, Ivan.

Afiliação

Borzanovic D; Department for Interventional Cardiology, Dedinje Cardiovascular Institute, Belgrade, Serbia.
Ilic I; Department for Interventional Cardiology, Dedinje Cardiovascular Institute, Belgrade, Serbia.
Nikolic D; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Stojanovic I; Department for Interventional Cardiology, University Clinical Center Kragujevac, Kragujevac, Serbia.

Front Cardiovasc Med ; 10: 1270541, 2023.

Article em En | MEDLINE | ID: mdl-37928763

ABSTRACT

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.

Palavras-chave

circumflex; complication; coronary; intervention; minimally invasive surgery; mitral valve; optical coherence tomography (OCT); port-access

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article