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The Intra-Aortic Balloon Pump
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Tough balloon with a vulnerable shaft: an unexpected device failure
Konstantinos C Theodoropoulos1, Konstantinos Tsakiridis1, Polychronis Vazakidis1
1From the 1st Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
The Journal of Invasive Cardiology
|February 29, 2024
Summary
A patient with a history of drug-eluting stent placement experienced worsening angina. Myocardial perfusion SPECT revealed ischemia in the left anterior descending artery territory, prompting further investigation.
Area of Science:
- Cardiology
- Interventional Cardiology
- Diagnostic Imaging
Background:
- A 73-year-old male presented with recurrent anginal symptoms.
- The patient had a history of a long drug-eluting stent (DES) placed from the left main stem (LMS) to the proximal left anterior descending artery (LAD).
Observation:
- Worsening anginal symptoms necessitated an elective coronary angiogram.
- Myocardial perfusion single-photon emission computed tomography (SPECT) indicated significant ischemia within the LAD territory.
Findings:
- The coronary angiogram was performed to evaluate the patency and function of the existing DES.
- SPECT findings correlated with the patient's symptomatic presentation, highlighting potential issues in the LAD territory.
Implications:
- This case underscores the importance of correlating clinical symptoms with advanced imaging in patients with prior coronary stenting.
- Further management decisions will be guided by the angiogram results and the extent of LAD ischemia.
- Evaluating stent integrity and perfusion is crucial for managing patients with complex coronary artery disease.
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