A 61-year-old patient who underwent emergent coronary angiography and drug-eluting stent implantation of a calcified left anterior descending coronary artery returned 2 days later with recurrence of chest pain and anterior ST-segment elevation. Three-dimensional OCT revealed extensive fracture and distortion of the struts in the distal portion of a stent, presumably caused by aggressive postdilation at the time of implantation. This was managed successfully with the insertion of a new coronary stent inside the damaged stent segment.
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