Revascularization of malignant coronary instent restenosis resulting from Takayasu's arteritis using sirolimus-eluting stents.
A 37 year-old female who had suffered from arteritis for 20 years underwent a Bentall operation. Since severe stenosis was observed in her left main coronary artery (LMCA) the following year, a minimally invasive direct coronary artery bypass (MIDCAB) operation was performed. Unfortunately, she again complained of angina about 6 months after the second surgery and coronary angiography (CAG) revealed that her left internal thoracic artery graft was totally occluded. Although a 4.0 x 15 mm S670 stent was placed in her LMCA, the LMCA re-stented every 3 months and she underwent reintervention 8 times. We placed 2 sirolimus-eluting stents for treating the LMCA using the culottes stenting technique. CAG 6 months after the index procedure showed no stenosis at her LMCA. Sirolimus-eluting stents were effective for treating stenosis resulting from arteritis as well as that caused by atherosclerosis.
Sakai
Hidetsugu
H
Division of Cardiology, Kushiro Rosai Hospital, Hokkaido, Japan.
Oyama
Naotsugu
N
Kishimoto
Noriaki
N
Takahashi
Masashige
M
Urasawa
Kazushi
K
Tsutsui
Hiroyuki
H
D000328:Adult; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery; D023903:Coronary Restenosis / Q000628:therapy*; D003331:Coronary Vessels; D005260:Female; D006801:Humans; D020123:Sirolimus / Q000008:administration & dosage*; D015607:Stents; D013625:Takayasu Arteritis / Q000150:complications* / Q000473:pathology
D020123:Sirolimus