{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:00:50Z","timestamp":1753887650519,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T00:00:00Z","timestamp":1637625600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Mitral valve (MV) repair or replacement surgery is indicated for a variety of conditions. Although uncommon, damage to the left circumflex (LCx) coronary artery, which courses in close proximity to the MV annulus, is a devastating complication.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>This report describes the case of a 63-year-old woman following re-operative MV replacement. Shortly after being transferred to the surgical intensive care unit after MV replacement, her EKG was notable for persistent inferolateral ST-segment elevations and reciprocal ST-segment depressions. Emergency transthoracic echocardiogram revealed a reduced left ventricular ejection fraction of 35\u201340% and mid to distal lateral wall motion hypokinesis. She was emergently taken to the cardiac catheterization laboratory where coronary angiography demonstrated complete occlusion of her mid LCx artery. She underwent urgent percutaneous coronary intervention of the lesion and was started on dual antiplatelet treatment, anticoagulation for comorbid atrial fibrillation, as well as guideline directed medical therapy with improvement in her EKG changes and cardiac function.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Prompt diagnosis and recognition of LCx injury is crucial. Management involves immediate percutaneous recanalization or surgical coronary bypass grafting.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab464","type":"journal-article","created":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T04:41:44Z","timestamp":1639197704000},"source":"Crossref","is-referenced-by-count":5,"title":["Left circumflex artery injury following surgical mitral valve replacement: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7079-6820","authenticated-orcid":false,"given":"Prakriti","family":"Gaba","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, Brigham and Women\u2019s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Brigham and Women\u2019s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajar","family":"Kochar","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Brigham and Women\u2019s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Sung","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Brigham and Women\u2019s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick T","family":"O\u2019Gara","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Brigham and Women\u2019s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1278-6245","authenticated-orcid":false,"given":"Deepak L","family":"Bhatt","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Brigham and Women\u2019s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,11,23]]},"reference":[{"key":"2021121103164435100_ytab464-B1","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/S0003-4975(10)66477-6","article-title":"Circumflex coronary artery injury during mitral valve replacement","volume":"4","author":"Danielson","year":"1967","journal-title":"Ann Thorac Surg"},{"key":"2021121103164435100_ytab464-B2","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1016\/j.jtcvs.2017.06.056","article-title":"A stitch too far: the circumflex artery in jeopardy during mitral valve repair","volume":"154","author":"Dillon","year":"2017","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2021121103164435100_ytab464-B3","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.jaccas.2020.11.018","article-title":"Percutaneous treatment of a circumflex artery occlusion after minimally invasive barlow disease mitral valve repair","volume":"3","author":"Victor Ar\u00e9valos","year":"2021","journal-title":"JACC Case Rep"},{"key":"2021121103164435100_ytab464-B4","first-page":"504","article-title":"Asymptomatic acute inferior ST elevation myocardial infarction from thermal injury complicating radiofrequency ablation for atrioventricular re-entrant tachycardia","volume":"16","author":"Chacko","year":"2004","journal-title":"J Invasive Cardiol"},{"key":"2021121103164435100_ytab464-B5","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/S0022-5223(19)38969-X","article-title":"Suture obliteration of the circumflex coronary artery in three patients undergoing mitral valve operation. Role of left dominant or codominant coronary artery","volume":"84","author":"Virmani","year":"1982","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2021121103164435100_ytab464-B6","first-page":"179","article-title":"Iatrogenic circumflex coronary lesion in mitral valve surgery","volume":"35","author":"Grande","year":"2008","journal-title":"Tex Heart Inst J"},{"key":"2021121103164435100_ytab464-B7","doi-asserted-by":"crossref","first-page":"1866","DOI":"10.1016\/j.athoracsur.2010.02.059","article-title":"Echocardiographic identification of iatrogenic injury of the circumflex artery during minimally invasive mitral valve repair","volume":"89","author":"Ender","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"2021121103164435100_ytab464-B8","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.jsha.2018.12.003","article-title":"Left circumflex artery injury postmitral valve surgery, single center experience","volume":"31","author":"Husain","year":"2019","journal-title":"J Saudi Heart Assoc"},{"key":"2021121103164435100_ytab464-B9","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/j.athoracsur.2020.05.160","article-title":"Left circumflex artery injury after mitral valve surgery: an algorithm management proposal","volume":"111","author":"Bargagna","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"2021121103164435100_ytab464-B10","doi-asserted-by":"crossref","first-page":"NP1","DOI":"10.1177\/2048872615623066","article-title":"Percutaneous coronary intervention of an iatrogenic occlusion of the circumflex coronary artery after mitral valve replacement","volume":"9","author":"Dello","year":"2015","journal-title":"Eur Heart J Acute Cardiovasc Care"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/12\/ytab464\/41722241\/ytab464.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/12\/ytab464\/41722241\/ytab464.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T04:41:55Z","timestamp":1639197715000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytab464\/6433682"}},"subtitle":[],"editor":[{"given":"Antonios","family":"Karanasos","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Adam","family":"Hartley","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Marcelo Haertel","family":"Miglioranza","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Zain Ul Abideen","family":"Asad","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Al-Hiji","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Carlos Minguito","family":"Carazo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mariame","family":"Chakir","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,11,23]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytab464","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2021,12,1]]},"published":{"date-parts":[[2021,11,23]]},"article-number":"ytab464"}}