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Updated: Jun 19, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Mitral valve repair complicated by iatrogenic coronary artery lesion treated with percutaneous coronary intervention
Stefano Postorino1, Paolo Buja, Giuseppe Grassi
1Cardiovascular Department, Ospedale dell'Angelo, Mestre, Venezia, Italy.
Insights
Mitral valve repair can lead to rare coronary artery injury. Successful treatment of this complication involved percutaneous coronary intervention for ST-elevation myocardial infarction.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Cardiac Pathology
Background:
- Mitral valve repair is a common cardiac surgical procedure.
- Iatrogenic coronary artery lesions are a rare but serious complication.
- Acute ST-elevation myocardial infarction can result from coronary artery injury.
Observation:
- A case of mitral valve repair was complicated by an iatrogenic coronary artery lesion.
- The coronary injury led to acute ST-elevation myocardial infarction.
- The patient's condition was successfully managed.
Findings:
- Percutaneous coronary intervention is an effective treatment for iatrogenic coronary artery lesions causing myocardial infarction.
- Successful management of this rare complication is possible with timely intervention.
Implications:
- Highlights the importance of recognizing and managing rare complications after mitral valve repair.
- Emphasizes the role of interventional cardiology in treating surgical complications.
- Contributes to understanding the management of iatrogenic coronary artery injuries.
Abstract:
We report a case of mitral valve repair complicated by iatrogenic coronary artery lesion. This rare coronary injury caused an acute ST-elevation myocardial infarction and it was treated successfully with a percutaneous coronary intervention.
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