Unconventional treatment of a giant coronary aneurysm presenting as ST-elevation myocardial infarction: a case report. Issue 10 (1st October 2021)

• Record Type: Journal Article
• Authors: Barioli, Alberto; Pellizzari, Nicola; Favero, Luca; Cernetti, Carlo
• Editors: Venezis, Andrew Peter; Montalto, Claudio; Ilic, Ivan; Batty, Jonathan Adam; Simovic, Stefan; Jakstaite, Aiste Monika
• Is Part Of: European heart journal. Volume 5:Issue 10(2021)
• Publication Date: 2021-10-01
• Subjects: Acute myocardial infarction/STEMI -- Coronary aneurysm -- Percutaneous coronary intervention (PCI) -- Case report -- Interventional devices/innovation; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytab385
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Background: The optimal treatment of aneurysmal or ectatic culprit vessels in the setting of acute myocardial infarction is still matter of debate, as revascularization with either percutaneous intervention or surgery is associated with low procedural success and poor outcomes. Case summary: We report the case of a 55-year-old male patient, admitted for inferior ST-elevation myocardial infarction, who underwent successful percutaneous implantation of a micro-mesh self-expanding nitinol carotid stent in a right coronary aneurysm with intravascular ultrasonography measured diameter of 9 mm and massive thrombus apposition. Discussion: The technical characteristics of the micro-mesh self-expanding nitinol carotid stent allow for adequate plaque coverage and good apposition even in large vessels, making this device particularly suitable for the treatment of coronary lesions with high thrombus burden, when severe coronary ectasia or aneurysms are present.