Coronary Anastomosis In Stent-Useful to Do When No Other Alternative Is Given?
| Autor: | Balan R; Department of Cardiac Surgery, Klinikum Passau, Passau, Germany., Mogilansky C; Department of Cardiac Surgery, Klinikum Passau, Passau, Germany., Czesla M; Department of Cardiac Surgery, Klinikum Passau, Passau, Germany., Massoudy P; Department of Cardiac Surgery, Klinikum Passau, Passau, Germany. |
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| Jazyk: | angličtina |
| Zdroj: | The Thoracic and cardiovascular surgeon reports [Thorac Cardiovasc Surg Rep] 2023 Jan 30; Vol. 12 (1), pp. e4-e6. Date of Electronic Publication: 2023 Jan 30 (Print Publication: 2023). |
| DOI: | 10.1055/s-0043-1760750 |
| Abstrakt: | Background Many patients being referred for coronary artery bypass grafting have a history of percutaneous coronary intervention (PCI). Case Description In a patient after multiple PCI of the left anterior descending artery (LAD), repeated in-stent stenosis was diagnosed. The LAD being covered with stents to the periphery, no meaningful anastomosis with stent-free vessel was possible. After thorough discussion with the patient, the referring cardiologist, and our local heart team, an in-stent anastomosis was planned and created, that was found to be angiographically patent 21 months after surgery with the patient free from angina. Conclusion Without any alternative treatment method given, our approach of in-stent anastomosis confers a good mid-term angiographic result. Competing Interests: Conflict of Interest None. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).) |
| Databáze: | MEDLINE |
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