'Floating' Stent in a Coronary Aneurysm Presenting as ST-Elevation Myocardial Infarction

Autor: Daniel De Castro, Sergio García-Gómez, Fernando Domínguez, Carlos Arellano, Juan Francisco Oteo
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Cardiovascular Development and Disease, Vol 10, Iss 2, p 59 (2023)
Druh dokumentu: article
ISSN: 2308-3425
DOI: 10.3390/jcdd10020059
Popis: Coronary artery aneurysm (CAA) presenting as an ST-elevation myocardial infarction (STEMI) represents a clinical challenge due to the technical difficulties in the percutaneous management of this specific situation. Appropriate treatment for CAA depends on the precise clinical situation and consists of medical management, surgical resection, or/and stent placement. The high rate of complications during percutaneous intervention (distal thrombus embolization, no-reflow phenomenon, stent malposition, or dissection) makes emergent surgery a frequent situation in these cases. We present the case of a 50-year-old man with a STEMI due to thrombotic occlusion of CAA. Specific angiographic techniques and intracoronary imaging help with the percutaneous management of acute thrombotic occlusions in CAA, providing a less invasive approach than emergent surgery.
Databáze: Directory of Open Access Journals