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. 2020 Sep 30;2(12):1905-1906.
doi: 10.1016/j.jaccas.2020.08.011. eCollection 2020 Oct.

Left Main Coronary Artery Stent Misadventure

Stefano Sechi  1 , Giovanni Melina  1 , Fabio Capuano  1 , Romina Pantanella  1 , Riccardo Sinatra  1
Affiliations

Left Main Coronary Artery Stent Misadventure

Stefano Sechi et al. JACC Case Rep. .

Abstract

Coronary artery bypass grafting has long been the standard of care for patients with left main coronary artery (LMCA) disease. Lately, percutaneous coronary intervention (PCI) has become a suitable alternative for these patients, but the procedure may be challenging. We describe 2 cases of LMCA PCI failure requiring surgical intervention. (Level of Difficulty: Advanced.).

Keywords: LAD, left anterior descending; LMCA, left main coronary artery; PCI, percutaneous coronary intervention; complication; coronary artery bypass; stents.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
LMCA PCI Failure and Repair (A and B) Patient 1. Echocardiographic and surgical views of the stent protruding through the left main coronary ostium in direct contact with the left cusp of the aortic valve. (C and D) Patient 2. Angiographic images of the malpositioned and fractured left main stent. (E) Patient 2. Surgical view after cut of the protruding stent. (F) Patient 2. The trimmed portion of the stent. LMCA = left main coronary artery; PCI = percutaneous coronary intervention.
See this image and copyright information in PMC

References

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