Combined Surgical and Percutaneous Management of Circumflex Artery Occlusion After Minimally Invasive Mitral Valve Repair

J Am Coll Cardiol. 2024 Aug 20;84(8):766-770. doi: 10.1016/j.jacc.2024.05.022.

Abstract

This report describes a hybrid intervention addressing left circumflex artery occlusion during minimally invasive mitral valve repair. By using a radiopaque Cor-Knot device (LSI Solutions), targeted removal of occluding sutures was achieved, circumventing sternotomy and coronary artery bypass. Real-time coronary angiography provided assessment of procedural success during surgical revision in a hybrid operating room.

Keywords: Cor-Knot suture fastener; hybrid approach; left circumflex artery occlusion; minimally invasive surgery; mitral valve repair; real-time coronary angiography.

Publication types

  • Case Reports

MeSH terms

  • Coronary Angiography
  • Coronary Occlusion* / diagnosis
  • Coronary Occlusion* / etiology
  • Coronary Occlusion* / surgery
  • Female
  • Humans
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures* / methods
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / surgery
  • Mitral Valve Insufficiency* / surgery
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / methods
  • Postoperative Complications / etiology