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

Dusan Borzanovic; Ivan Ilic; Dusan Nikolic; Ivan Stojanovic

doi:10.3389/fcvm.2023.1270541

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

Front Cardiovasc Med. 2023 Oct 20:10:1270541. doi: 10.3389/fcvm.2023.1270541. eCollection 2023.

Authors

Dusan Borzanovic¹, Ivan Ilic^{1

2}, Dusan Nikolic³, Ivan Stojanovic^{2

4}

Affiliations

¹ Department for Interventional Cardiology, Dedinje Cardiovascular Institute, Belgrade, Serbia.
² Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
³ Department for Interventional Cardiology, University Clinical Center Kragujevac, Kragujevac, Serbia.
⁴ Department for Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia.

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.

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

Publication types

Case Reports

Grants and funding

The authors declare that no financial support was received for the research, authorship, and/or publication of this article.