eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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3/2021
vol. 17
 
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abstract:
Image in intervention

Iatrogenic circumflex coronary artery injury after mitral valve replacement

Luiza Bulak
1
,
Piotr Brzozowski
1
,
Krzysztof W. Reczuch
2
,
Wiktor Kuliczkowski
3

  1. Department of Heart Diseases, Jan Mikulicz-Radecki University Teaching Hospital, Wroclaw, Poland
  2. Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland
  3. Department and Clinic of Cardiology, Wroclaw Medical University, Wroclaw, Poland
Adv Interv Cardiol 2021; 17, 3 (65): 315–316
DOI: https://doi.org/10.5114/aic.2021.109235
Online publish date: 2021/09/20
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We present a case of a 57-year old man with a medical history of hypertension, coronary artery disease, heart failure, and hyperlipidemia. In June 2020 due to endocarditis the patient underwent valve surgery which required implantation of a mechanical valve (SJM 29). The intervention was complicated by postprocedural myocardial infarction (MI) expressed as ST segment elevation. The Heart Team convened ad hoc in the catheterization laboratory and decided on percutaneous coronary intervention (PCI). Coronary angiography revealed total occlusion of the left circumflex artery (Cx) at the origin of the large first marginal obtuse artery (Mo), which additionally presented proximal stenosis (Figure 1 A). The coronary angiography performed before the operation showed no signs of coronary atherosclerosis in these locations.
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