Affiliation:
1. Cardiology Unit, Cardio-Neuro-Vascular Department, Ca' Foncello Hospital Azienda N 2 Marca Trevigiana, Via Sant'Ambrogio, 37, 31100 Treviso, Italy
Abstract
Abstract
Background
The optimal treatment of aneurysmal or ectatic culprit vessels in the setting of acute myocardial infarction is still matter of debate, as revascularization with either percutaneous intervention or surgery is associated with low procedural success and poor outcomes.
Case summary
We report the case of a 55-year-old male patient, admitted for inferior ST-elevation myocardial infarction, who underwent successful percutaneous implantation of a micro-mesh self-expanding nitinol carotid stent in a right coronary aneurysm with intravascular ultrasonography measured diameter of 9 mm and massive thrombus apposition.
Discussion
The technical characteristics of the micro-mesh self-expanding nitinol carotid stent allow for adequate plaque coverage and good apposition even in large vessels, making this device particularly suitable for the treatment of coronary lesions with high thrombus burden, when severe coronary ectasia or aneurysms are present.
Publisher
Oxford University Press (OUP)
Subject
Cardiology and Cardiovascular Medicine
Reference13 articles.
1. Aneurysmal coronary artery disease;Swaye;Circulation,1983
2. Coronary artery aneurysms: a review of the natural history, pathophysiology, and management;Cohen;Cardiol Rev,2008
3. Management of coronary artery aneurysms;Kawsara;JACC Cardiovasc Interv,2018
4. Associations between coronary artery disease, aneurysm and ectasia;Ovalı;Kardiochir Torakochirurgia Pol,2017
5. Coronary artery ectasia: new insights into pathophysiology, diagnosis, and treatment;Eitan;Coron Artery Dis,2016
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