scholarly journals Extraluminal Migration of a Drug-Eluting Stent Into a Thrombosed Coronary Aneurysm With Preserved Antegrade Flow in the Right Coronary Artery

2017 ◽  
Vol 10 (8) ◽  
pp. 834-836 ◽  
Author(s):  
Nanda Kishore Panigrahi ◽  
Jagannadh Raju ◽  
Dibya Kumar Baruah ◽  
Metta Srinivas ◽  
Ravi Kumar Varma
2007 ◽  
Vol 97 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Christian Herdeg ◽  
Katrin Göhring-Frischholz ◽  
Uwe Helber ◽  
Tobias Geisler ◽  
Andreas May ◽  
...  

Author(s):  
Devendra Joshi ◽  
Orlando Santana ◽  
Angelo LaPietra ◽  
Joseph Lamelas

Herein, we report the case of a 60-year-old woman who presented with increasing dyspnea on exertion. Echocardiography revealed significant aortic and mitral regurgitation, which were most likely secondary to previous radiation therapy for breast cancer. On cardiac catheterization a 90% ostial right coronary artery lesion was found and treated with a drug-eluting stent. During minimally invasive valve surgery, via a right anterior thoracotomy, it was noted that the stent had restenosed. Therefore, the right coronary artery was bypassed with a segment of venous graft through the same incision.


2018 ◽  
Vol 46 (5) ◽  
pp. 2008-2013 ◽  
Author(s):  
Maohuan Lin ◽  
Zizhuo Su ◽  
Jiajie Li ◽  
Ruqiong Nie ◽  
Jingfeng Wang

A honeycomb-like structure (HLS) is a rare entity encountered in catheterization laboratories. The etiology of HLS remains elusive. Moreover, no treatment guideline or consensus for HLS has been proposed. However, with more frequent adoption of intravascular imaging modalities, the number of cases of HLS is rising. We herein present a case of HLS and summarize previous reports in the literature with the aim of providing useful information for interventional cardiologists and promoting further research.


2006 ◽  
Vol 67 (3) ◽  
pp. 391-395 ◽  
Author(s):  
Robert J. Applegate ◽  
Teresa Draughn ◽  
William D. Yarbrough ◽  
William C. Little

2021 ◽  
Vol 14 (1) ◽  
pp. e239128
Author(s):  
Tomoki Fukui ◽  
Nobuyuki Ogasawara ◽  
Shinji Hasegawa

Postoperative coronary artery complications after Bentall procedures are well recognised but are rare and potentially fatal. There have been only five cases documenting percutaneous coronary intervention (PCI) for right coronary artery (RCA) involvements after button Bentall procedures. We describe a case of postoperative silent myocardial ischaemia in a 72-year-old man who underwent the button Bentall procedure for a right sinus of Valsalva aneurysm. On postoperative day 15, an RCA complication was incidentally detected by follow-up multidetector CT. Coronary angiography showed proximal RCA kinking, which was not an anastomosis but a native coronary artery. The patient underwent a successful PCI with drug-eluting stent implantation. We reviewed six cases consisting of this case and five previous cases treated with PCI. These cases enhance the recognition of potential RCA complications after the button Bentall procedure.


Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 70-76
Author(s):  
Benjamín Iván Hernández-Mejía ◽  
Edison Ricardo Espinoza-Saquicela

Introduction: Coronary aneurysms are rare and are linked to drug abuse; symptomatology depends on the coronary anatomy. This is a case of acute coronary syndrome associated with a giant right coronary aneurysm.Case description: A 40-year-old male, with history of heroin and crack use since age 20, attended consultation due to dyspnea, stable angina and diaphoresis. An electrocardiogram showed ST segment overlay on the underside and troponin problems. A coronary catheterization was performed, which revealed apparent inconclusive aortato-right atrium fistula. Based on the findings, angiotomography and magnetic resonance imaging were performed, finding a giant right coronary aneurysm. The aneurysm was resected using extracorporeal circuit, femoral cannulation, moderate hypothermia, aortic cross-clamping and cardioplegia, and the right coronary artery was revascularized with the left internal saphenous vein. The patient had a satisfactory postoperative period and was discharged after 7 days.Conclusion: There is an important association between drug use and the development of coronary aneurysms. Aneurysm size makes diagnosis difficult, so complementary studies are necessary to establish a differential diagnosis. An appropriate surgical approach allows for a complete resection of the aneurysm and optimal coronary revascularization.


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