title: Coronary stent implantation in a septal perforator artery: case report and review of the literature.
abstract: Septal perforator arteries play an important role in the blood supply of the anterior interventricular septum. Their intramyocardial course makes them inaccessible for coronary bypass revascularization. Although modern catheter-based techniques might be superior to coronary bypass grafting in offering the most complete revascularization in selected patient populations, a systematic review of the literature revealed a paucity of data regarding the outcome of these patients. The present report describes coronary stent implantation in a dominant septal perforator artery and the analysis of the anatomic relationship between the stent and the intraventricular septum using a new imaging technique, catheter-based intracardiac ultrasound.
authors.affiliation: Thoraxcenter, Dijkzigt Hospital, Erasmus University, Rotterdam, The Netherlands.
authors.forename: E
authors.initials: E
authors.lastname: Regar
authors.forename: K
authors.initials: K
authors.lastname: Kozuma
authors.forename: J
authors.initials: J
authors.lastname: Ligthart
authors.forename: S G
authors.initials: SG
authors.lastname: Carlier
authors.forename: A
authors.initials: A
authors.lastname: de Vries
authors.forename: P W
authors.initials: PW
authors.lastname: Serruys
mesh_terms: D001158:Arteries; D003331:Coronary Vessels; D004452:Echocardiography / Q000379:methods; D006346:Heart Septum; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents