Recurrent thrombotic RCA occlusions due to exaggerated stent protrusion into the aorta.
We report a case with exaggerated stent protrusion from the right coronary ostium into the aorta leading to recurrent inferoposterior and right ventricular myocardial infarctions due to stent thrombosis, which were treated successfully with fibrinolysis. The stent was removed via transverse aortotomy and two bypass grafts were performed. Stents protruding from the aorta may not only cause technical difficulties but also carry a high risk of thrombosis.
Arat-Ozkan
Alev
A
Department of Cardiology, Institute of Cardiology, Istanbul University, Istanbul, Turkey.
Orta-Kilickesmez
Kadriye
K
Akcevin
Atif
A
Gurmen
Tevfik
T
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D020878:Device Removal; D004452:Echocardiography; D004868:Equipment Failure; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D015607:Stents; D015912:Thrombolytic Therapy