Unconventional treatment of a giant coronary aneurysm presenting as ST-elevation myocardial infarction: a case report
| Autor: | Alberto Barioli, Nicola Pellizzari, Carlo Cernetti, Luca Favero |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry medicine.medical_treatment Percutaneous coronary intervention Coronary aneurysm Acute myocardial infarction/STEMI Revascularization medicine.disease Culprit Aneurysm Interventional devices/innovation Ectasia Case report cardiovascular system medicine AcademicSubjects/MED00200 Percutaneous coronary intervention (PCI) cardiovascular diseases Radiology Myocardial infarction Thrombus Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| Popis: | Background The optimal treatment of aneurysmal or ectatic culprit vessels in the setting of acute myocardial infarction is still matter of debate, as revascularization with either percutaneous intervention or surgery is associated with low procedural success and poor outcomes. Case summary We report the case of a 55-year-old male patient, admitted for inferior ST-elevation myocardial infarction, who underwent successful percutaneous implantation of a micro-mesh self-expanding nitinol carotid stent in a right coronary aneurysm with intravascular ultrasonography measured diameter of 9 mm and massive thrombus apposition. Discussion The technical characteristics of the micro-mesh self-expanding nitinol carotid stent allow for adequate plaque coverage and good apposition even in large vessels, making this device particularly suitable for the treatment of coronary lesions with high thrombus burden, when severe coronary ectasia or aneurysms are present. |
| Databáze: | OpenAIRE |
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