Successful Treatment of Occlusive Left Main Coronary Artery Dissection by Impella-Supported Stenting

Autor: James J. Glazier, Amir Kaki, Theodore L. Schreiber
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Case Reports in Cardiology, Vol 2018 (2018)
Druh dokumentu: article
ISSN: 2090-6404
2090-6412
DOI: 10.1155/2018/5373625
Popis: We report successful treatment of a patient, who, during diagnostic angiography, developed an ostial left main coronary artery dissection with stump occlusion of the vessel. First, mechanical circulatory support with an Impella CP device was established. Then, patency of the left coronary system was achieved by placement of stents in the left anterior descending, left circumflex, and left main coronary arteries. On completion of the procedure, left ventricular systolic function, as assessed by echocardiography, was normal. At 24-month clinical follow-up, the patient remains angina-free and well. This is the first reported case of the use of an Impella device to support treatment of iatrogenic left main coronary artery dissection.
Databáze: Directory of Open Access Journals
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