[Primary percutaneous coronary intervention with DES implantation after Bentall de Bono procedure; late in-stent restenosis after DES implantation].
We report a case of acute coronary syndrome in a 58 year-old man with a history of double Bentall De Bono procedure (redo due to endocarditis). During the second operation, both main native coronary arteries were anastomosed end-to-end to aortic prosthesis using short vein graft insertions. Four months later the patient presented to the CCU with unstable angina. Computed tomography-scan suggested bilateral ostial stenoses. Percutaneous coronary intervention of the left proximal anastomosis was performed with DES. 14 months later the patient was treated with in-(DES) DES implantation.
Tomala
Marek
M
Centrum Interwencyjnego Leczenia Chorób Serca i Naczyń z Pododdziałem Kardiologii Interwencyjnej,ul. Prądnicka, 31–202 Kraków. marektomala@gmail.pl
Machnik
Andrzej
A
Pasowicz
Mieczysław
M
Irzyk
Małgorzata
M
Kapelak
Bogusław
B
Trebacz
Jarosław
J
Wilkołek
Piotr
P
Banyś
Robert
R
Zmudka
Krzysztof
K
D054058:Acute Coronary Syndrome / Q000150:complications / Q000628:therapy*; D000714:Anastomosis, Surgical; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D001807:Blood Vessel Prosthesis; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed