Incremental benefit of three-dimensional transesophageal echocardiography in the assessment of left main coronary artery stent protrusion.
Mohammed J ArishaMing C HsiungAmier AhmadNavin C NandaAhmed ElkaryoniAhmed H MohamedWei-Hsian YinPublished in: Echocardiography (Mount Kisco, N.Y.) (2017)
Ostial lesions represent a challenging clinical scenario and percutaneous intervention (PCI) of left main coronary artery ostial lesions has been associated with postintervention complications, including protrusion of deployed stents into a sinus of Valsalva or aortic root. We report a case of stent protrusion into the aortic root following aorto-ostial left main coronary artery PCI, in which three-dimensional transesophageal echocardiography (3DTEE) provided incremental benefit over standard two-dimensional images. Specifically, 3DTEE confirmed the presence of stent protrusion by allowing clear visualization of the stent scaffold, in addition to characterizing the relationship between the stent and surrounding structures.
Keyphrases
- coronary artery
- pulmonary artery
- left ventricular
- pulmonary hypertension
- coronary artery disease
- aortic valve
- acute myocardial infarction
- acute coronary syndrome
- computed tomography
- randomized controlled trial
- percutaneous coronary intervention
- antiplatelet therapy
- left atrial appendage
- atrial fibrillation
- risk factors
- st elevation myocardial infarction
- minimally invasive
- machine learning
- mass spectrometry
- aortic dissection