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MYOCARDIAL BRIDGE STENTING COMPLICATED BY CORONARY ARTERY PERFORATION AND MIDLAD-RIGHT VENTRICLE FISTULA FORMATION IN NSTEMI PATIENT. 心肌桥支架置入术并发冠状动脉穿孔及中右心室瘘形成。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.10
Nikola Kos, Martina Čančarević, Vjekoslav Radeljić, Ozren Vinter, Paola Negovetić, Matias Trbušić
{"title":"MYOCARDIAL BRIDGE STENTING COMPLICATED BY CORONARY ARTERY PERFORATION AND MIDLAD-RIGHT VENTRICLE FISTULA FORMATION IN NSTEMI PATIENT.","authors":"Nikola Kos, Martina Čančarević, Vjekoslav Radeljić, Ozren Vinter, Paola Negovetić, Matias Trbušić","doi":"10.20471/acc.2024.63.s1.10","DOIUrl":"10.20471/acc.2024.63.s1.10","url":null,"abstract":"<p><p>We report a case of a patient who presented with non ST-elevation myocardial infarction and coronary angiography showing a long myocardial bridge (MB) of the left anterior descending artery (LAD) with a fixed significant stenosis at the entry point of the MB. The lesion was treated with a semi-compliant balloon and drug-eluted stent (DES). After the stent placement, a large arterial perforation with fistula to right ventricle was observed. There was no hemodynamic instability due to the fistula progression during the procedure and the perforation point was successfully closed with a stent-graft. Additionally, we provide a short review of diagnostic and therapeutic approach to MB stenting and reports of cases with coronary artery perforation after stenting of MB.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"54-61"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
STENT DISLODGEMENT AND SUCCESSFUL CRUSHING OF THE STENT IN LMCA IN A PATIENT WITH ISCHEMIC CARDIOMYOPATHY AND TWO CTOS. 1例缺血性心肌病和2例ctos患者的lmca支架移位和支架成功粉碎。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.12
Davor Radić, Eduard Margetić
{"title":"STENT DISLODGEMENT AND SUCCESSFUL CRUSHING OF THE STENT IN LMCA IN A PATIENT WITH ISCHEMIC CARDIOMYOPATHY AND TWO CTOS.","authors":"Davor Radić, Eduard Margetić","doi":"10.20471/acc.2024.63.s1.12","DOIUrl":"10.20471/acc.2024.63.s1.12","url":null,"abstract":"<p><p>Stent loss or dislodgement is a rare but potentially serious complication of percutaneous coronary intervention. We present a case of an 80-year-old patient with multiple comorbidities in which stent dislodgement occurred during percutaneous coronary intervention on the left main coronary artery. The complication was successfully resolved without any consequences.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"67-69"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SUCCESSFUL TREATMENT OF AN ELDERLY, FRAIL PATIENT WITH NON-ST ELEVATION MYOCARDIAL INFARCTION AND MULTI-ORGAN FAILURE: AGAINST THE ODDS. 成功治疗老年体弱患者非st抬高型心肌梗死和多器官衰竭：克服困难。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.3
Marin Pavlov, Zdravko Babić, Matias Trbušić, Vjekoslav Radeljić, Diana Delić Brkljačić
{"title":"SUCCESSFUL TREATMENT OF AN ELDERLY, FRAIL PATIENT WITH NON-ST ELEVATION MYOCARDIAL INFARCTION AND MULTI-ORGAN FAILURE: AGAINST THE ODDS.","authors":"Marin Pavlov, Zdravko Babić, Matias Trbušić, Vjekoslav Radeljić, Diana Delić Brkljačić","doi":"10.20471/acc.2024.63.s1.3","DOIUrl":"10.20471/acc.2024.63.s1.3","url":null,"abstract":"<p><p>Contemporary cardiology offers potent treatment options for acute coronary syndrome. Occasionally, the most challenging part of the patient care occurs after percutaneous coronary intervention (PCI). Complications such as acute renal failure requiring renal replacement therapy, need for mechanical ventilation, infections, septic syndrome requiring vasopressor therapy, and stroke may influence short- and long-term outcome of such patients. In this paper, we present a case of an elderly lady treated with left main PCI due to acute non-ST elevation myocardial infarction. The case was complicated with all above listed events, however, the outcome was favourable.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"18-22"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SPONTANEOUS CORONARY ARTERY DISSECTION: CASE REPORTS OF THREE TYPES OF DISSECTION. 自发性冠状动脉剥离：三种类型剥离1例报告。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.6
Jozica Šikić, Jasna Čerkez Habek, Dean Strinić, Petar Bešlić, Petra Potrebica
{"title":"SPONTANEOUS CORONARY ARTERY DISSECTION: CASE REPORTS OF THREE TYPES OF DISSECTION.","authors":"Jozica Šikić, Jasna Čerkez Habek, Dean Strinić, Petar Bešlić, Petra Potrebica","doi":"10.20471/acc.2024.63.s1.6","DOIUrl":"10.20471/acc.2024.63.s1.6","url":null,"abstract":"<p><p>Spontaneous coronary artery dissection (SCAD) is defined as a nonatherosclerotic, nontraumatic or iatrogenic tear within the epicardial coronary artery wall creating a false lumen or hematoma. It is more common in younger patients and women and it can cause acute coronary syndrome (ACS) in 0.1 to 4 percent of cases. We described three cases of different types of SCAD. In the first case, we described a male patient admitted due to chest pain after excessive physical activity. Electrocardiogram (ECG) showed inferior ST-elevation myocardial infarction (STEMI). SCAD of left anterior descending (LAD) was found by coronary angiography. Because of chest pain and signs of ischemia on ECHO, a stent was implanted. After procedure, the patient was pain-free and hemodynamically and rhythmically stable. In the second case, we presented a young multiparous woman with signs of acute coronary syndrome (ACS). A coronary angiogram showed a homogeneous stenosis of proximal LAD. Optimal medical therapy (OMT) was the initial therapy of choice. After a few days due to the recurrence of chest pain and an increase in troponin level, recoronarography was performed. It showed a dissection of the left main (LM), left circumflex artery (LCx) and LAD. It was treated with the two-stent technique procedure, after which, the patient was stable and pain free. In the third case, we showed a postmenopausal patient with subclinical hypothyroidism. In this case, it is difficult to say whether the dissections of LCx, LM and LAD that occurred after the balloon dilatation of LCx and the stent implantation in the right coronary artery (RCA) were result of atherosclerotic lesions or hormonal changes that can cause SCAD.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"30-36"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SUCCESSFUL URGENT ENDOVASCULAR TREATMENT OF IATROGENIC POST-ANGIOPLASTY RUPTURE OF COMMON AND EXTERNAL ILIAC ARTERY WITH MULTIPLE STENT GRAFTS. 多支血管内支架成功治疗医源性髂总动脉及外动脉成形术后破裂。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.11
Dražen Perkov, Nino Tičinović, Ivana Jurca, Karlo Novačić
{"title":"SUCCESSFUL URGENT ENDOVASCULAR TREATMENT OF IATROGENIC POST-ANGIOPLASTY RUPTURE OF COMMON AND EXTERNAL ILIAC ARTERY WITH MULTIPLE STENT GRAFTS.","authors":"Dražen Perkov, Nino Tičinović, Ivana Jurca, Karlo Novačić","doi":"10.20471/acc.2024.63.s1.11","DOIUrl":"10.20471/acc.2024.63.s1.11","url":null,"abstract":"<p><p>Iatrogenic injury of the peripheral arteries is becoming more common as the number of endovascular interventions grows. Percutaneous angioplasty of the iliac artery may cause a variety of problems, including arterial rupture, which can be fatal. We report a patient with simultaneous iatrogenic rupture of the right common and external iliac arteries during percutaneous transluminal angioplasty resulting in a life-threatening retroperitoneal haemorrhage that was treated successfully with the use of three balloon expandable stent grafts to seal the rupture.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"62-66"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SPECKLE TRACKING ECHOCARDIOGRAPHY ANALYSIS OF GLOBAL AND REGIONAL MYOCARDIAL STRAIN IN DIAGNOSIS AND FOLLOW-UP OF THE PATIENT WITH MYOPERICARDITIS. 斑点追踪超声心动图分析整体及局部心肌应变在心包炎诊断及随访中的价值。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.14
Siniša Roginić, Vito Mustapić, Tereza Knaflec, Martina Roginić, Andrija Škopljanac Mačina, Krešimir Štambuk
{"title":"SPECKLE TRACKING ECHOCARDIOGRAPHY ANALYSIS OF GLOBAL AND REGIONAL MYOCARDIAL STRAIN IN DIAGNOSIS AND FOLLOW-UP OF THE PATIENT WITH MYOPERICARDITIS.","authors":"Siniša Roginić, Vito Mustapić, Tereza Knaflec, Martina Roginić, Andrija Škopljanac Mačina, Krešimir Štambuk","doi":"10.20471/acc.2024.63.s1.14","DOIUrl":"10.20471/acc.2024.63.s1.14","url":null,"abstract":"<p><p>Myopericarditis is inflammatory disease caused by various, often unidentified, factors. Although considered the gold standard for diagnosis of myocarditis, endomyocardial biopsy in clinical pactice is often substituted with clinical, biochemical and imaging parameters. Echocardiography with speckle tracking strain analysis is a valuable tool for diagnosis of myocarditis, estimation of regional and global systolic function showing good correlation with cardiac magnetic resonance imaging (cMRI). We present the case of a 19-year-old male with chest pain, elevated troponin and ST segment elevation who underwent urgent coronary angiography. Normal angiogram steered diagnosis toward myopericarditis, considering information about recent enterocolitis and vaccination against SARS-CoV-2. Transthoracal echocardiography with speckle tracking analysis showed longitudinal strain reduction in several segments of the left ventricle. Small pericardial effusion alongside those segments was also found supporting our diagnosis. After 3 months of treatment with antiinflammatory drugs, ACE inhibitor and beta blocker, the patient recovered and a repeated echo showed complete recovery of systolic function without pericardial effusion. We conclude that echocardiography, including global and regional longitudinal strain analysis, is a valuable diagnostic tool in patients with myopericarditis, complementary with not widely available cMRI. It can detect subtle systolic dysfunction not visible with conventional echocardiography, thus having implications on therapy and prognosis.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"75-80"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
STENT DISLODGEMENT DURING PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN PATIENT WITH MYOCARDIAL INFARCTION AND PULMONARY EMBOLISM: A CASE REPORT. 心肌梗死合并肺栓塞患者经皮冠状动脉介入治疗期间支架移位1例报告。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.15
Mateja Sabol Pušić, Branko Ostrički, Mihajlo Kovačić
{"title":"STENT DISLODGEMENT DURING PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN PATIENT WITH MYOCARDIAL INFARCTION AND PULMONARY EMBOLISM: A CASE REPORT.","authors":"Mateja Sabol Pušić, Branko Ostrički, Mihajlo Kovačić","doi":"10.20471/acc.2024.63.s1.15","DOIUrl":"10.20471/acc.2024.63.s1.15","url":null,"abstract":"<p><p>A 74-year-old patient was hospitalized because of pulmonary embolism and deep venous thrombosis. Standard medication therapy was administered but the inferolateral ST elevation myocardial infarction (STEMI) occurred only a few hours after the admission. Coronary angiography was performed, and circumflex artery (ACx) occlusion verified. Initially, thromboaspiration was done, the lesion was predilated with a semi-compliant (SC) balloon and drug eluting stent (DES) was placed. The control angiogram showed a filling defect at the occlusion site, while the expanded stent was visualized in the left main (it did not adequately detach during inflation and was pulled retrograde to the guide catheter). We attempted to remove the stent by passing an SC balloon over the stent and it was pulled under fluoroscopic guidance to the brachial artery. An effort was then made to extract the stent using ˝twisting guide wire technique˝, but without success. Finally, the stent was grasped with an EN Snare® device and removed completely through the sheath. The procedure ended with the repositioning of the guide catheter and implantation of a new stent. In further hospitalization, gastroenterological workup was planned, but because of septic shock and COVID infection, the patient died due to multiorgan failure.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"81-85"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A COVERED CORONARY STENT FOR ACUTE PERFORATION AFTER A PERCUTANEOUS CORONARY INTERVENTION DUE TO CARDIAC ALLOGRAFT VASCULOPATHY. 有盖冠状动脉支架用于治疗同种异体心脏移植物血管病变引起的经皮冠状动脉介入术后急性穿孔。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.2
Mario Udovičić, Hrvoje Falak, Miro Raguž, Ilko Vuksanović, Ante Lisičić, Šime Manola, Irzal Hadžibegović
{"title":"A COVERED CORONARY STENT FOR ACUTE PERFORATION AFTER A PERCUTANEOUS CORONARY INTERVENTION DUE TO CARDIAC ALLOGRAFT VASCULOPATHY.","authors":"Mario Udovičić, Hrvoje Falak, Miro Raguž, Ilko Vuksanović, Ante Lisičić, Šime Manola, Irzal Hadžibegović","doi":"10.20471/acc.2024.63.s1.2","DOIUrl":"10.20471/acc.2024.63.s1.2","url":null,"abstract":"<p><p>Cardiac allograft vasculopathy (CAV) is diffuse concentric narrowing caused by intimal fibriproliferation of the coronary arteries in patients after heart transplantation (HTx). It affects almost one third of patients over the period of 5 years, and more than 50% after 10 years following HTx and remains a common cause of late graft failure and mortality. Percutaneous coronary intervention (PCI) can be attempted for focal disease preferably with drug-eluting stents, but the only definite solution is re-transplantation reserved for selected patients with severe CAV. We report a case of a 33- year-old patient with a newly diagnosed CAV, in which a PCI of circumflex coronary artery was attempted, resulting in a coronary perforation treated by the placement of a covered single stent.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"14-17"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CONSEQUENCES OF THE IMPOSSIBILITY TO PROVIDE A FINAL KISSING BALLOON IN DUAL STENT BIFURCATION TECHNIQUE. 在双支架分岔技术中不可能提供最后的吻合器的后果。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.8
Marin Vučković, Sandra Šarić
{"title":"CONSEQUENCES OF THE IMPOSSIBILITY TO PROVIDE A FINAL KISSING BALLOON IN DUAL STENT BIFURCATION TECHNIQUE.","authors":"Marin Vučković, Sandra Šarić","doi":"10.20471/acc.2024.63.s1.8","DOIUrl":"10.20471/acc.2024.63.s1.8","url":null,"abstract":"<p><p>Final kissing balloon is the cornerstone of double stent techniques for bifurcation lesions. It provides restoring of the optimal anatomic and physiological features of coronary artery bifurcations. Skipping this step can lead to catastrophic consequences, and resolving complication can be very challenging despite all available tools and tricks. Some interventional tools can be helpful but can also result in new complications. This is a case report on an unsuccessfull attempt of resolving an acute complication after coronary artery bifurcation stenting with two-stent technique, despite all tricks we had in our pocket at that time. In this report, we will also show problems that can occure when trying to cross stent strat with microcatheter, and use of intracoronary imaging in resolving foreign body location.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"43-46"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
INTERVENTIONAL TRAPS IN ECTATIC CORONARY ARTERIES: A CASE REPORT. 扩张性冠状动脉介入陷阱1例。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.13
Krešimir Gabaldo, Marijana Knežević Praveček, Domagoj Vučić, Domagoj Mišković, Ivan Bitunjac, Ivica Dunđer, Božo Vujeva, Blaženka Miškić, Katica Cvitkušić Lukenda
{"title":"INTERVENTIONAL TRAPS IN ECTATIC CORONARY ARTERIES: A CASE REPORT.","authors":"Krešimir Gabaldo, Marijana Knežević Praveček, Domagoj Vučić, Domagoj Mišković, Ivan Bitunjac, Ivica Dunđer, Božo Vujeva, Blaženka Miškić, Katica Cvitkušić Lukenda","doi":"10.20471/acc.2024.63.s1.13","DOIUrl":"10.20471/acc.2024.63.s1.13","url":null,"abstract":"<p><p>Coronary artery ectasia or aneurysms are dilatation of an arterial segment to a diameter at least 1.5 times that of the adjacent normal. Blood flow through such arteries is disturbed and turbulent, which, with the activation of endothelium, leads to chronic thrombosis in the blood vessel wall. Percutaneous coronary interventions in ectatic / aneurysmal vessels carry a high risk of complications, primarily a \"no-reflow\" phenomenon. No-reflow is common in patients with acute coronary syndrome, especially ST elevation myocardial infarction (STEMI). In this article, we present the occurrence of the no-reflow phenomenon in a stable patient undergoing percutaneous intervention due to a significant stenosis of the aneurysmally altered right coronary artery. Despite the rapid placement and optimization of stents and the applied drug therapy combined with thromboaspiration periprocedurally, it was not possible to establish TIMI 3 flow. However, after the initial failure and development of periprocedural STEMI, the patient was successfully stabilized with unexpectedly good recovery of infarcted myocardial function. Control coronarography 6 weeks after the initial event confirmed a proper stent patency with normal TIMI 3 flow.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"70-74"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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