AUTHOR=Borzanovic Dusan , Ilic Ivan , Nikolic Dusan , Stojanovic Ivan 

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

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 10 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1270541

DOI=10.3389/fcvm.2023.1270541

ISSN=2297-055X

ABSTRACT=We present a case of a 42-year-old man with an iatrogenic injury of the left circumflex (Cx) coronary artery after mitral valve (MV) repair surgery. After suffering myocardial infarction without ST-segment elevation following minimally invasive MV surgery,  repeated coronary angiography was done and we decided to perform optical coherence tomography (OCT), which revealed severe coronary stenosis of the dominant Cx caused by intramural hematoma. We proceeded with PCI and stent implantation.