Reconstruction of anterior descending artery after removal of stents.
A 65-year-old man who had previously undergone multiple stenting on the coronary tree, was referred for urgent surgery. The left anterior descending coronary artery was found to be completely stented from the proximal to the distal portion. Open endarterectomy was required for removal of multiple thrombosed stents and reconstruction of the left anterior descending artery using left internal mammary artery. This highlights the need to spare the distal parts of coronary vessels for future surgery.
U.O.C. di Cardiochirurgia, Policlinico G. Martino, Università di Messina, Via Consolare, Valeria, Messina, Italy.
Giuseppe F
GF
Zattera
Antonino M
AM
Grande
Roberto
R
Gaeta
Marcello
M
Savasta
Salvatore
S
Lentini
Mario
M
Viganò
D000368:Aged; D000789:Angina, Unstable / Q000209:etiology / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000628:therapy*; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D020878:Device Removal; D004691:Endarterectomy; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome