Aortic protrusion of left main coronary artery stent during percutaneous coronary intervention after redo mitral valve replacement: surgical removal and new stent implantation.

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-09-01 Epub Date: 2025-04-28 DOI:10.1007/s12055-025-01957-0

Nöfel Ahmet Binicier, Nail Kahraman, Ahmet Yildirim, Deniz Demir

{"title":"Aortic protrusion of left main coronary artery stent during percutaneous coronary intervention after redo mitral valve replacement: surgical removal and new stent implantation.","authors":"Nöfel Ahmet Binicier, Nail Kahraman, Ahmet Yildirim, Deniz Demir","doi":"10.1007/s12055-025-01957-0","DOIUrl":null,"url":null,"abstract":"An 83-year-old male patient presented to our hospital with complaints of chest pain, shortness of breath, and leg swelling. His medical history included a biological mitral valve replacement (MVR) for mitral stenosis 9 years ago and percutaneous coronary intervention (PCI) to the circumflex (CX) and diagonal arteries 5 years ago. Echocardiography and coronary angiography (CAG) revealed moderate mitral valve stenosis, left atrial thrombus, and critical stenosis in the left main coronary artery (LMCA) and CX artery. Redo MVR, coronary artery bypass grafting (CABG), tricuspid valve repair, and thrombus excision were planned. However, CABG could not be performed due to extensive pericardial adhesions. After redo MVR, during LMCA stenting, the proximal portion of the stent protruded towards the aorta and hemodynamic instability developed. The protruded stent was surgically removed, and a drug-eluting stent (DES) was successfully implanted into the LMCA.Supplementary information: The online version contains supplementary material available at 10.1007/s12055-025-01957-0.","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 9","pages":"1189-1192"},"PeriodicalIF":0.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373622/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12055-025-01957-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/28 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

Abstract

An 83-year-old male patient presented to our hospital with complaints of chest pain, shortness of breath, and leg swelling. His medical history included a biological mitral valve replacement (MVR) for mitral stenosis 9 years ago and percutaneous coronary intervention (PCI) to the circumflex (CX) and diagonal arteries 5 years ago. Echocardiography and coronary angiography (CAG) revealed moderate mitral valve stenosis, left atrial thrombus, and critical stenosis in the left main coronary artery (LMCA) and CX artery. Redo MVR, coronary artery bypass grafting (CABG), tricuspid valve repair, and thrombus excision were planned. However, CABG could not be performed due to extensive pericardial adhesions. After redo MVR, during LMCA stenting, the proximal portion of the stent protruded towards the aorta and hemodynamic instability developed. The protruded stent was surgically removed, and a drug-eluting stent (DES) was successfully implanted into the LMCA.

Supplementary information: The online version contains supplementary material available at 10.1007/s12055-025-01957-0.

查看原文本刊更多论文

重做二尖瓣置换术后经皮冠状动脉介入治疗中左主干冠状动脉支架突出：手术切除并植入新支架。

一名83岁男性患者以胸痛、呼吸短促和腿部肿胀来我院就诊。病史包括9年前因二尖瓣狭窄行生物二尖瓣置换术（MVR）， 5年前行旋动脉和斜动脉经皮冠状动脉介入治疗（PCI）。超声心动图和冠状动脉造影（CAG）显示中度二尖瓣狭窄，左心房血栓，左冠状动脉主动脉（LMCA）和CX动脉严重狭窄。计划重做MVR，冠状动脉旁路移植术（CABG），三尖瓣修复和血栓切除。然而，由于广泛的心包粘连，CABG无法进行。在重做MVR后，LMCA支架置入期间，支架近端部分向主动脉突出，血流动力学不稳定。手术取出突出的支架，并将药物洗脱支架（DES）成功植入LMCA。补充信息：在线版本包含补充资料，可在10.1007/s12055-025-01957-0获得。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.