Recenzija, prikaz
https://doi.org/10.20471/acc.2024.63.s1.10
Myocardial Bridge Stenting Complicated by Coronary Artery Perforation and MidLAD-Right Ventricle Fistula Formation in NSTEMI Patient
Nikola Kos
; Department of Cardiovascular Diseases, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia
Martina Čančarević
; Department of Cardiovascular Diseases, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia
Vjekoslav Radeljić
; Department of Cardiovascular Diseases, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia; School of Medicine of the University of Zagreb, Zagreb, Croatia
Ozren Vinter
; Department of Cardiovascular Diseases, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia
Paola Negovetić
; School of Medicine of the University of Zagreb, Zagreb, Croatia
Matias Trbušić
; Department of Cardiovascular Diseases, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia; School of Medicine of the University of Zagreb, Zagreb, Croatia
*
* Dopisni autor.
Sažetak
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.
Ključne riječi
Coronary intervention; Bridging; Stent; Perforation
Hrčak ID:
320975
URI
Datum izdavanja:
1.3.2024.
Posjeta: 0 *