In-stent Restenosis in an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva After a Stenting Lesion with Acute Angle

We describe a 38-year-old male who underwent percutaneous coronary intervention (PCI) using a third-generation drug-eluting stent (DES) with a thin stent for an anomalous left main coronary artery (LMCA) originating from the right coronary sinus with a retro-aortic course. Six months later, in-stent...

Descripción completa

Detalles Bibliográficos
Autores principales: Alkashkari, Wail, Meer, Alaa, Omeish, Attafah, Althobaiti, Mohammed, Kinsara, Abdulhalim J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138505/
https://www.ncbi.nlm.nih.gov/pubmed/32269883
http://dx.doi.org/10.7759/cureus.7204
_version_ 1783518585442795520
author Alkashkari, Wail
Meer, Alaa
Omeish, Attafah
Althobaiti, Mohammed
Kinsara, Abdulhalim J
author_facet Alkashkari, Wail
Meer, Alaa
Omeish, Attafah
Althobaiti, Mohammed
Kinsara, Abdulhalim J
author_sort Alkashkari, Wail
collection PubMed
description We describe a 38-year-old male who underwent percutaneous coronary intervention (PCI) using a third-generation drug-eluting stent (DES) with a thin stent for an anomalous left main coronary artery (LMCA) originating from the right coronary sinus with a retro-aortic course. Six months later, in-stent restenosis (ISR) occurred due to stent implantation in angled lesions with significant hinge motion. An intravascular ultrasound (IVUS) revealed significant neointimal hyperplasia. The vessel wall of an angled coronary artery lesion is exposed to mechanical stress from the deployed stent. It has been reported before in the major coronary arteries but not in an anomalous LMCA.
format Online
Article
Text
id pubmed-7138505
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-71385052020-04-08 In-stent Restenosis in an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva After a Stenting Lesion with Acute Angle Alkashkari, Wail Meer, Alaa Omeish, Attafah Althobaiti, Mohammed Kinsara, Abdulhalim J Cureus Cardiology We describe a 38-year-old male who underwent percutaneous coronary intervention (PCI) using a third-generation drug-eluting stent (DES) with a thin stent for an anomalous left main coronary artery (LMCA) originating from the right coronary sinus with a retro-aortic course. Six months later, in-stent restenosis (ISR) occurred due to stent implantation in angled lesions with significant hinge motion. An intravascular ultrasound (IVUS) revealed significant neointimal hyperplasia. The vessel wall of an angled coronary artery lesion is exposed to mechanical stress from the deployed stent. It has been reported before in the major coronary arteries but not in an anomalous LMCA. Cureus 2020-03-08 /pmc/articles/PMC7138505/ /pubmed/32269883 http://dx.doi.org/10.7759/cureus.7204 Text en Copyright © 2020, Alkashkari et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Alkashkari, Wail
Meer, Alaa
Omeish, Attafah
Althobaiti, Mohammed
Kinsara, Abdulhalim J
In-stent Restenosis in an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva After a Stenting Lesion with Acute Angle
title In-stent Restenosis in an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva After a Stenting Lesion with Acute Angle
title_full In-stent Restenosis in an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva After a Stenting Lesion with Acute Angle
title_fullStr In-stent Restenosis in an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva After a Stenting Lesion with Acute Angle
title_full_unstemmed In-stent Restenosis in an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva After a Stenting Lesion with Acute Angle
title_short In-stent Restenosis in an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva After a Stenting Lesion with Acute Angle
title_sort in-stent restenosis in an anomalous left main coronary artery arising from the right sinus of valsalva after a stenting lesion with acute angle
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138505/
https://www.ncbi.nlm.nih.gov/pubmed/32269883
http://dx.doi.org/10.7759/cureus.7204
work_keys_str_mv AT alkashkariwail instentrestenosisinananomalousleftmaincoronaryarteryarisingfromtherightsinusofvalsalvaafterastentinglesionwithacuteangle
AT meeralaa instentrestenosisinananomalousleftmaincoronaryarteryarisingfromtherightsinusofvalsalvaafterastentinglesionwithacuteangle
AT omeishattafah instentrestenosisinananomalousleftmaincoronaryarteryarisingfromtherightsinusofvalsalvaafterastentinglesionwithacuteangle
AT althobaitimohammed instentrestenosisinananomalousleftmaincoronaryarteryarisingfromtherightsinusofvalsalvaafterastentinglesionwithacuteangle
AT kinsaraabdulhalimj instentrestenosisinananomalousleftmaincoronaryarteryarisingfromtherightsinusofvalsalvaafterastentinglesionwithacuteangle

Ejemplares similares