Acute Circumflex Occlusion After a Successful Mitral Valve Repair
Related Experiment Video
Updated: Dec 23, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Ioannis Felekos1, Konstantinos C Theodoropoulos1, Liam Mullen1
1Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.
Insights
A rare complication of mitral valve surgery, acute iatrogenic coronary artery occlusion, was successfully treated with percutaneous coronary intervention in a young Barlow
Area of Science:
- Cardiology
- Cardiac Surgery
- Interventional Cardiology
Background:
- Barlow's disease presents unique challenges in mitral valve repair.
- Iatrogenic coronary artery occlusion is a recognized but often delayed complication of mitral valve surgery.
Observation:
- A young patient with Barlow's disease developed acute coronary artery occlusion post-mini mitral valve repair.
- The occlusion was successfully treated using percutaneous coronary intervention.
Findings:
- Successful management of iatrogenic coronary artery occlusion via percutaneous coronary intervention.
- Early recognition and intervention are crucial for managing this surgical complication.
Implications:
- Highlights the importance of advanced imaging techniques for diagnosis.
- Underscores the need for vigilance regarding coronary complications after mitral valve surgery.
- Informs clinical practice for managing post-operative cardiac events.
Abstract:
We herein present an interesting case of acute iatrogenic coronary artery occlusion after a successful mini mitral valve repair in a young patient with Barlow's disease. It was successfully managed with percutaneous coronary intervention. This is a well-recognized complication of mitral valve surgery and is often misdiagnosed or late recognized. Implementation of non-invasive and intracoronary imaging is pivotal in-patient management.
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Mitral Stenosis III: Medical Management
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