Intramural hematoma extending from a dissection within an implanted stent: a case report treated with fenestration

Takeshi Okura1, Toshitaka Okabe1, Naoei Isomura1

  • 1Division of Cardiology, Showa University Northern Yokohama Hospital, 35-1 Chigasaki-Chuo Tsuzuki, Yokohama, Kanagawa 224-8503, Japan.

Summary

Severe restenosis after coronary stent implantation can occur due to pre-dilation hematoma, even when dissection is sealed. This case highlights the importance of considering vasa vasorum injury in patients on long-term steroids.