In-stent restenosis in idiopathic isolated ostial left main coronary artery stenosis.
Idiopathic isolated ostial left main artery stenosis is a rare disease with uncertain etiology, clinical course and prognosis. We described a young woman with no cardiovascular risk factors, who developed the disease 3 years ago with a bare-metal stent implanted in the left main artery ostium. She presented again with severe angina of rapid onset. Coronary angiography revealed ostial left main artery in-stent restenosis. A drug-eluting stent was successfully deployed over the previous stent with good angiographic result. The etiology and management of this disorder were briefly discussed.
Jim
Man-Hong
MH
Yiu
Kai-Hang
KH
Chow
Wing-Hing
WH
D000328:Adult; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis* / Q000628:therapy*; D023921:Coronary Stenosis / Q000175:diagnosis / Q000628:therapy*; D003937:Diagnosis, Differential; D016503:Drug Delivery Systems; D005080:Exercise Test; D005260:Female; D006801:Humans; D015607:Stents; D014057:Tomography, X-Ray Computed