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Updated: Aug 9, 2025

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
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"Floating" Stent in a Coronary Aneurysm Presenting as ST-Elevation Myocardial Infarction

Daniel De Castro1, Sergio García-Gómez1, Fernando Domínguez1

  • 1Department of Cardiology, University Hospital Puerta de Hierro Majadahonda, 28220 Madrid, Spain.

Journal of Cardiovascular Development and Disease
|February 24, 2023
PubMed

Insights

Coronary artery aneurysm (CAA) causing ST-elevation myocardial infarction (STEMI) is challenging to treat percutaneously. Advanced imaging and techniques enable less invasive management of acute thrombotic occlusions in CAA.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Coronary artery aneurysm (CAA) presenting as ST-elevation myocardial infarction (STEMI) poses significant management challenges.
  • Percutaneous coronary intervention (PCI) in CAA is complex, with a high risk of complications.

Observation:

  • A 50-year-old male presented with STEMI due to a thrombotic occlusion of a CAA.
  • The case highlights the difficulties encountered during percutaneous management of such conditions.

Findings:

  • Specific angiographic techniques and intracoronary imaging were utilized for percutaneous management.
  • These advanced methods facilitated the treatment of acute thrombotic occlusions in the CAA.

Implications:

  • Percutaneous management of thrombotic CAA-STEMI can be achieved with specialized techniques.
  • This approach offers a less invasive alternative to emergent surgery for selected patients.

Keywords:
ST-segment-elevation myocardial infarctioncomputed tomography angiographycoronary aneurysmcoronary angiographydrug-eluting stent

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