%0 Case Reports
%T Combined Surgical and Percutaneous Management of Circumflex Artery Occlusion After Minimally Invasive Mitral Valve Repair.
%A Hinkov H
%A Greve D
%A Lee CB
%A Klein C
%A Dreysse S
%A Kukucka M
%A Akansel S
%A Falk V
%A Kofler M
%A Kempfert J
%J J Am Coll Cardiol
%V 84
%N 8
%D 2024 Aug 20
%M 39142732
%F 27.203
%R 10.1016/j.jacc.2024.05.022
%X 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.