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

Frontiers in Cardiovascular Medicine

Cardiovascular Medicine

Dusan Borzanovic¹  Ivan Ilic²  Dusan Nikolic³  Ivan Stojanovic⁴ 

[1] Department for Interventional Cardiology, Dedinje Cardiovascular Institute, Belgrade, Serbia;Department for Interventional Cardiology, Dedinje Cardiovascular Institute, Belgrade, Serbia;Faculty of Medicine, University of Belgrade, Belgrade, Serbia;Department for Interventional Cardiology, University Clinical Center Kragujevac, Kragujevac, Serbia;Faculty of Medicine, University of Belgrade, Belgrade, Serbia;Department for Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia;

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

DOI  :  10.3389/fcvm.2023.1270541

 received in 2023-07-31, accepted in 2023-09-28,  发布年份 2023

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

Unknown   
© 2023 Borzanovic, Ilic, Nikolic and Stojanovic.