V stenting technique with covered stents for the management of ostial circumflex perforation: Good or bad idea?

We report the case of a redo Ross surgery complicated by an ostial left circumflex occlusion requiring emergent percutaneous coronary intervention. The latter was complicated by coronary perforation treated by two covered stents with V-stenting technique. After immediate success, the clinical course...

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Bibliographic Details
Published inJournal of cardiology cases Vol. 29; no. 3; pp. 116 - 119
Main Authors Denimal, Tom, Vincent, Flavien, Juthier, Francis, Pamart, Thibault, Moussa, Mouhamed D, Schurtz, Guillaume, Pontana, Francois, Van Belle, Eric, Delhaye, Cédric
Format Report
LanguageEnglish
Published 01.03.2024
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Summary:We report the case of a redo Ross surgery complicated by an ostial left circumflex occlusion requiring emergent percutaneous coronary intervention. The latter was complicated by coronary perforation treated by two covered stents with V-stenting technique. After immediate success, the clinical course was marked by acute stent thrombosis requiring emergent coronary bypass.Learning objectivesOstial left circumflex perforation is a rare and potentially fatal complication that is challenging to manage. V stenting technique with two covered stents could be used as a life-saving procedure, but is associated with a high thrombotic risk.
Bibliography:ObjectType-Case Study-2
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ISSN:1878-5409
DOI:10.1016/j.jccase.2023.11.003