"Floating" Stent in a Coronary Aneurysm Presenting as ST-Elevation Myocardial Infarction.
Daniel De CastroSergio García-GómezFernando DomínguezCarlos ArellanoJuan Francisco Oteo DominguezPublished in: Journal of cardiovascular development and disease (2023)
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.
Keyphrases
- st elevation myocardial infarction
- minimally invasive
- coronary artery
- percutaneous coronary intervention
- coronary artery bypass
- coronary artery disease
- ultrasound guided
- st segment elevation myocardial infarction
- pulmonary artery
- acute coronary syndrome
- randomized controlled trial
- healthcare
- radiofrequency ablation
- atrial fibrillation
- respiratory failure
- risk factors
- intensive care unit
- pulmonary arterial hypertension
- photodynamic therapy
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- aortic stenosis