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Inadvertent stenting of left main coronary artery complicated by later in‐stent restenosis
Author(s) -
Madhusoodanan K.P.,
Javeed Najam,
Marakovits Joseph,
Warner Mark F.,
Missri Jose C.
Publication year - 1999
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(199910)48:2<194::aid-ccd15>3.0.co;2-s
Subject(s) - medicine , stent , angioplasty , restenosis , cardiology , myocardial infarction , stenosis , angina , balloon , right coronary artery , unstable angina , coronary stent , angiography , radiology , circumflex , artery , dissection (medical) , left coronary artery , coronary angiography
Stenting of both the protected and unprotected left main coronary artery has been described. This case presents a patient who had inadvertent left main stent deployment. A 47‐year‐old female presented with a non–Q‐wave infarction and subsequent angina leading to angiography and angioplasty of her proximal ramus intermedius artery. Recurrent angina and ECG changes necessitated repeat coronary angiography and angioplasty on the same day with Wiktor stent deployment to treat a resultant dissection. Poststent deployment pictures revealed that the stent had been partially deployed in the left main coronary artery. Additional balloon dilatations were performed at the ostia of the left anterior descending and circumflex arteries through the stent. Three months later the patient presented with progressive angina and was discovered to have severe distal left main stenosis. In a case such as this, stent removal may be preferable to leaving an unnecessary stent within the left main coronary artery. Cathet. Cardiovasc. Intervent. 48:194–197, 1999. © 1999 Wiley‐Liss, Inc.