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

Autor: Denimal, Tom, Vincent, Flavien, Juthier, Francis, Pamart, Thibault, Moussa, Mouhamed D., Schurtz, Guillaume, Pontana, Francois, Van Belle, Eric, Delhaye, Cédric
Zdroj: Journal of Cardiology Cases; Mar2024, Vol. 29 Issue 3, p116-119, 4p
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. 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. [ABSTRACT FROM AUTHOR]
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