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Severe right coronary artery injury during minimally invasive tricuspid valve repair.

A 75-year old man underwent minimally invasive tricuspid valve repair using a 30-mm Cosgrove-Edwards annuloplasty band. Postoperatively, severe right heart failure occurred. Cardiac catheterization revealed sub-total occlusion of the right coronary artery (Fig. 1). The lesion, which possibly arose due to stitching, was stented successfully with a ProKinetc 4.0 mm× 20.0 mm bare-metal stent (Fig. 2).