Main trunk crossover stenting in a patient with left internal thoracic artery--protected single coronary artery
Sadayuki Kawashima1, Jun Shiraishi, Masayuki Hyogo
1Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto, 605-0981, Japan.
Insights
This study demonstrates a successful transradial percutaneous coronary intervention for complex left anterior descending artery stenosis in a high-risk patient. The procedure, guided by intravascular ultrasound, achieved excellent stent placement without complications.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- A 74-year-old male presented with worsening angina.
- The patient had a history of previous coronary artery bypass graft (CABG) and a single coronary artery.
- High-risk factors precluded traditional redo-CABG.
Abstract:
A 74-year-old man with single coronary artery and history of previous coronary artery bypass graft (CABG) was admitted to our hospital with worsening angina. Because of high risk of redo-CABG, we performed transradial percutaneous coronary intervention against the just proximal left anterior descending coronary artery (LAD) stenosis coexisting with short main trunk, anomalous right coronary artery deriving from the mid LAD and patent left internal thoracic artery-distal LAD graft. Under the guidance of IVUS, we successfully implanted an everolimus-eluting stent from the main trunk ostium to the proximal LAD without complications.
