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The Role of CT Imaging in a Fractured Coronary Stent with Pseudoaneurysm Formation.
Diagnostics (Basel)
April 2024
Clinical Laboratory of Radiology and Medical Imaging, "Sf. Apostol Andrei" County Emergency Hospital, 900591 Constanta, Romania.
We report a case of a 63-year-old male patient with multiple cardiovascular risk factors and previous myocardial infarction who was referred to the emergency department on September 2023 with symptoms and clinical and biological data consistent with an acute coronary event. A coronary angiography revealed severe ostial stenosis of the left anterior descending artery (LAD) and intrastent thrombotic occlusion in the first two segments of the LAD. Two drug-eluting stents were implanted and the patient was discharged when hemodynamically stable; however, three weeks later, he returned to the emergency department complaining of fever, anterior chest pain, dyspnea at rest, and high blood pressure values at home.
View Article and Find Full Text PDFInfluence of graft anastomosis and graft morphology on long-term patency of the saphenous vein after aortocoronary bypass.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub
September 2024
Department of Science and Research, University Hospital Ostrava, Ostrava, Czech Republic.
Objective: Several factors are involved in the preservation of graft function after surgical myocardial revascularization. This follow-up study aimed to evaluate the effects of vein graft anastomosis and graft morphology on long-term graft patency a minimum of 10 years after aortocoronary bypass grafting.Setting and Cohorts.
View Article and Find Full Text PDFSubacute saphenous vein graft stent thrombosis due to unusual drug interaction: a case report.
Eur Heart J Case Rep
November 2023
Department of Cardiology, Université Libre de Bruxelles (ULB), Centre Hospitalier Universitaire Saint-Pierre, Rue Botanique 6, 1210 Brussels, Belgium.
Background: Stent thrombosis is a potentially lethal complication of coronary angioplasty and responsible for 20% of all post-angioplasty myocardial infarctions. Unusual causes may be overlooked and difficult to identify.
Case Summary: A 70-year-old male with history of triple aortocoronary bypass presented with acute inferolateral ST-segment elevation myocardial infarction (STEMI).
No-Touch Saphenous Vein as Y-Composite vs Aortocoronary Graft: Early Outcome Analysis.
Ann Thorac Surg Short Rep
March 2024
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Background: A randomized controlled trial was designed to compare 1-year morphologic changes of the no-touch saphenous vein (SV) as a Y-composite graft (composite group) vs an aortocoronary graft (aorta group) in coronary artery bypass grafting. This study evaluated early clinical and angiographic outcomes as a preliminary analysis.
Methods: The primary end point of the trial was the intima-media thickness measured by intravascular ultrasound at 1-year angiographic follow-up.
Graft Patency of No-Touch Saphenous Veins Used as Aortocoronary Bypass Grafts.
J Chest Surg
September 2023
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Background: This study evaluated the early, 1-year, and 3-year graft patency rates and mid-term clinical outcomes after no-touch saphenous veins (NT-SVs) were used as aortocoronary grafts in coronary artery bypass grafting (CABG).
Methods: In total, 101 patients who underwent CABG using NT-SVs as aortocoronary grafts were included. The 2 most common indications for performing aortocoronary grafting with NT-SVs were unavailability of the left internal thoracic artery (n=36) and moderate lesions where flow competition was expected (n=27).
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