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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 PDFBlood group AB is associated with reduced blood loss but also elevated cardiovascular mortality in aortocoronary bypass surgery.
J Thromb Thrombolysis
March 2024
Department of Cardiac and Vascular Surgery, University Medical Center, Langenbeckstr. 1, 55131, Mainz, Germany.
Patient blood group (BG) is predictive for von-Willebrand-factor (VWF) and Factor VIII variation. The clinical impact of this ABO-effect on blood loss, cardiovascular complications and outcome has been described for several patient cohorts. The aim of this study was to investigate the impact of patient BG on blood loss and outcome after coronary artery bypass surgery (CABG).
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).
Intravascular ultrasound system-guided bail-out stent implantation for iatrogenic aortocoronary dissection: a case report.
Eur Heart J Case Rep
August 2023
Department of Cardiology, Japan Community Healthcare Organization Osaka Hospital, 4-2-78, Fukushima, Fukushima-Ku, Osaka city, Osaka 553-0003, Japan.
Background: Iatrogenic aortocoronary dissection (ACD) is a rare but potentially devastating complication of cardiac catheterization. We describe a case of an iatrogenic ACD following catheter engagement and balloon inflation of the proximal right coronary artery (RCA) during an elective percutaneous coronary intervention (PCI).
Case Summary: An 81-year-old woman presented with an acute inferior wall ST-elevation myocardial infarction.
Myocardial Work Evaluation-A Useful Non-Invasive Method to Predict Coronary Artery Sub-Occlusion in a Patient with Unstable Angina and Multiple Myocardial Revascularization Interventions.
Diagnostics (Basel)
April 2023
Multidisciplinary Heart Research Center, "Victor Babes" University of Medicine and Pharmacy, 12 Revolution of 1989 Bd., 300040 Timisoara, Romania.
Background: While lifestyle changes, management of coronary artery disease (CAD) risk factors, myocardial revascularization procedures, and medication can improve a patient's prognosis, de novo native coronary lesions and in-stent restenosis (ISR) remain significant clinical concerns. ISR is more frequent with a bare-metal stent than with a drug-eluting stent and has been documented in around 12% of DES patients. Acute coronary syndrome (ACS) manifests as unstable angina in about 30% to 60% of ISR patients.
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