Percutaneous management of a coronary bifurcation aneurysm: With mesh-covered stents and the simultaneous kissing stent technique

Gabriele Crimi, Davide Bartolini, Sandro Bellotti, Alessandro Iannone, Paolo Rubartelli

Research output: Contribution to journalArticle

Abstract

A 63-year-old man was admitted with a clinical diagnosis of acute coronary syndrome (non-ST-segment elevation), characterized by regional hypokinesia of the left ventricular posterior and lateral walls and by positive cardiac biomarkers. The coronary angiogram showed a 12.5-mm-diameter aneurysm with a mural thrombus and possible distal embolism to the bifurcation of the left circumflex coronary artery and the 2nd marginal branch. The aneurysm was managed percutaneously by implanting 2 mesh-covered stents in accordance with the “simultaneous kissing stent” technique. Follow-up angiography and optical coherence tomography at 5 postprocedural months documented complete sealing of the aneurysm and diffuse in-stent restenosis. No sign of ischemia occurred during the subsequent follow-up.

Original languageEnglish
Pages (from-to)397-399
Number of pages3
JournalTexas Heart Institute Journal
Volume42
Issue number4
DOIs
Publication statusPublished - Aug 3 2015

Keywords

  • Acute coronary syndrome
  • Bifurcation aneurysm
  • Blood vessel prosthesis implantation
  • Coronary aneurysm/diagnosis/therapy
  • Disease progression
  • Percutaneous coronary intervention/methods
  • Stents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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