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; Ivan Ilic; Dusan Nikolic; Ivan Stojanovic; Ivan Stojanovic

doi:10.3389/fcvm.2023.1270541

Frontiers in Cardiovascular Medicine (Oct 2023)

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,
Ivan Ilic,
Dusan Nikolic,
Ivan Stojanovic,
Ivan Stojanovic

Affiliations

Dusan Borzanovic: Department for Interventional Cardiology, Dedinje Cardiovascular Institute, Belgrade, Serbia
Ivan Ilic: Department for Interventional Cardiology, Dedinje Cardiovascular Institute, Belgrade, Serbia
Ivan Ilic: Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Dusan Nikolic: Department for Interventional Cardiology, University Clinical Center Kragujevac, Kragujevac, Serbia
Ivan Stojanovic: Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Ivan Stojanovic: Department for Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia

DOI: https://doi.org/10.3389/fcvm.2023.1270541
Journal volume & issue: Vol. 10

Abstract

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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.

Published in Frontiers in Cardiovascular Medicine

ISSN: 2297-055X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.frontiersin.org/journals/cardiovascular-medicine

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Abstract

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