V stenting technique with covered stents for the management of ostial circumflex perforation: Good or bad idea?

Autor: Denimal T; CHU Lille, Cardiologie, Institut Cœur Poumon, Lille, France.; Université de Lille, Lille, France., Vincent F; CHU Lille, Cardiologie, Institut Cœur Poumon, Lille, France.; Université de Lille, Lille, France., Juthier F; Université de Lille, Lille, France.; CHU Lille, Chirurgie Cardiaque, Lille, France., Pamart T; CHU Lille, Cardiologie, Institut Cœur Poumon, Lille, France.; Université de Lille, Lille, France., Moussa MD; Université de Lille, Lille, France.; CHU Lille, Anesthésie et Réanimation Cardio-Vasculaire, Lille, France., Schurtz G; CHU Lille, Cardiologie, Institut Cœur Poumon, Lille, France., Pontana F; Université de Lille, Lille, France.; CHU Lille, Radiologie Cardiovasculaire, Lille, France., Van Belle E; CHU Lille, Cardiologie, Institut Cœur Poumon, Lille, France.; Université de Lille, Lille, France., Delhaye C; CHU Lille, Cardiologie, Institut Cœur Poumon, Lille, France.
Jazyk: angličtina
Zdroj: Journal of cardiology cases [J Cardiol Cases] 2023 Nov 23; Vol. 29 (3), pp. 116-119. Date of Electronic Publication: 2023 Nov 23 (Print Publication: 2024).
DOI: 10.1016/j.jccase.2023.11.003
Abstrakt: We report the case of a redo Ross surgery complicated by an ostial left circumflex occlusion requiring emergent percutaneous coronary intervention. The latter was complicated by coronary perforation treated by two covered stents with V-stenting technique. After immediate success, the clinical course was marked by acute stent thrombosis requiring emergent coronary bypass.
Learning Objectives: Ostial left circumflex perforation is a rare and potentially fatal complication that is challenging to manage. V stenting technique with two covered stents could be used as a life-saving procedure, but is associated with a high thrombotic risk.
Competing Interests: The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2023 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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