"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
- pulmonary artery
- st segment elevation myocardial infarction
- acute coronary syndrome
- randomized controlled trial
- healthcare
- high resolution
- radiofrequency ablation
- risk factors
- liver failure
- mass spectrometry
- atrial fibrillation
- intensive care unit
- abdominal aortic aneurysm
- mechanical ventilation
- ejection fraction