ABSTRACT Mitral valve surgery has become an increasingly common procedure for patients with mitral valve disease. Iatrogenic coronary artery lesion has been reported as an uncommon and potentially fatal complication of mitral valve surgery. Its diagnosis must be considered during perioperative care, and coronary angiography helps in deciding the best therapeutic strategy. In the present clinical report, we describe a patient with iatrogenic occlusion of the left circumflex artery after surgery for mitral valve replacement due to rheumatic disease.
ABSTRACT We describe the case of a patient with multiple comorbidities scheduled to undergo intracoronary optical coherence tomography-guided percutaneous coronary intervention. Based on the images acquired, it was possible to observe the mechanism of restenosis and the anatomy of the lesion, and to optimize planning of the procedure. Our strategy was to resect the neointimal hyperplastic tissue using laser atherectomy, with great results and a successful procedure.
ABSTRACT Background: Percutaneous coronary intervention (PCI) in large vessels has peculiarities that have been little explored in studies. Our objective was to evaluate temporal trends over the last 10 years and in-hospital outcomes for this population. Methods: Using data from the National Center for Cardiovascular Interventions (CENIC), procedures performed between June 2006 and March 2016 were analyzed. The data were divided into three periods (2006-2008, 2009-2011 and 2012-2016). Clinical, angiographic, therapeutic and in-hospital outcome data were considered. Results: The sample […]