Incremental benefit of three‐dimensional transesophageal echocardiography in the assessment of left main coronary artery stent protrusion. Issue 6 (16th May 2017)

• Record Type: Journal Article
• Authors: Arisha, Mohammed J.; Hsiung, Ming C.; Ahmad, Amier; Nanda, Navin C.; Elkaryoni, Ahmed; Mohamed, Ahmed H.; Yin, Wei‐Hsian
• Is Part Of: Echocardiography. Volume 34:Issue 6(2017)
• Page Start: 915
• Page End: 918
• Publication Date: 2017-05-16
• Subjects: left main coronary artery stenting -- stent protrusion -- three‐dimensional echocardiography -- transesophageal echocardiography -- two‐dimensional echocardiography; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.13564
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract : Ostial lesions represent a challenging clinical scenario and percutaneous intervention (PCI) of left main coronary artery ostial lesions has been associated with postintervention complications, including protrusion of deployed stents into a sinus of Valsalva or aortic root. We report a case of stent protrusion into the aortic root following aorto‐ostial left main coronary artery PCI, in which three‐dimensional transesophageal echocardiography (3DTEE) provided incremental benefit over standard two‐dimensional images. Specifically, 3DTEE confirmed the presence of stent protrusion by allowing clear visualization of the stent scaffold, in addition to characterizing the relationship between the stent and surrounding structures.