Percutaneous Management of a Coronary Bifurcation Aneurysm with Mesh-Covered Stents and the Simultaneous Kissing Stent Technique.
- Resource Type
- Case Study
- Authors
- Crimi, Gabriele; Bartolini, Davide; Bellotti, Sandro; Iannone, Alessandro; Rubartelli, Paolo
- Source
- Texas Heart Institute Journal. Aug2015, Vol. 42 Issue 4, p397-399. 3p. 4 Black and White Photographs.
- Subject
- *ANEURYSM surgery
*SURGICAL stents
*HYPOKINESIA
*EMBOLISMS
*OPTICAL coherence tomography
*CORONARY restenosis
ANEURYSM treatment
- Language
- ISSN
- 1526-6702
A 63-year-old man was admitted with a clinical diagnosis of acute coronary syndrome (non-ST-segment elevation), characterized by regional hypokinesia of the left ventricular posterior and lateral walls and by positive cardiac biomarkers. The coronary angiogram showed a 12.5-mm-diameter aneurysm with a mural thrombus and possible distal embolism to the bifurcation of the left circumflex coronary artery and the 2nd marginal branch. The aneurysm was managed percutaneously by implanting 2 mesh-covered stents in accordance with the "simultaneous kissing stent" technique. Follow-up angiography and optical coherence tomography at 5 postprocedural months documented complete sealing of the aneurysm and diffuse in-stent restenosis. No sign of ischemia occurred during the subsequent follow-up. [ABSTRACT FROM AUTHOR]