title: Percutaneous Management of a Coronary Bifurcation Aneurysm with Mesh-Covered Stents and the Simultaneous Kissing Stent Technique.
abstract: A 63-year-old man was admitted with a clinical diagnosis of acute coronary syndrome (non-ST-segment elevation), characterized by regional hypokinesia of the left ventricular posterior and lateral walls and by positive cardiac biomarkers. The coronary angiogram showed a 12.5-mm-diameter aneurysm with a mural thrombus and possible distal embolism to the bifurcation of the left circumflex coronary artery and the 2nd marginal branch. The aneurysm was managed percutaneously by implanting 2 mesh-covered stents in accordance with the "simultaneous kissing stent" technique. Follow-up angiography and optical coherence tomography at 5 postprocedural months documented complete sealing of the aneurysm and diffuse in-stent restenosis. No sign of ischemia occurred during the subsequent follow-up.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Crimi
authors.forename: Davide
authors.initials: D
authors.lastname: Bartolini
authors.forename: Sandro
authors.initials: S
authors.lastname: Bellotti
authors.forename: Alessandro
authors.initials: A
authors.lastname: Iannone
authors.forename: Paolo
authors.initials: P
authors.lastname: Rubartelli
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000628:therapy*; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000209:etiology; D054855:Drug-Eluting Stents; D006801:Humans; D008297:Male; D008875:Middle Aged; D058426:Neointima; D011474:Prosthesis Design; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome
keywords: Acute coronary syndrome; bifurcation aneurysm; blood vessel prosthesis implantation; coronary aneurysm/diagnosis/therapy; disease progression; percutaneous coronary intervention/methods; stents