Primary PCI in a patient with acute occlusion of native LAD beyond the LIMA graft anastomosis: first reported case, technical challenges and review of the literature

  • Francesco Meucci
  • Miroslava Stolcova
  • Paolo Valoti
Case Report
First Online:
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Abstract

We present a case of a man with an anterior STEMI due to acute occlusion of the LAD, distally to the anastomosis with LIMA graft. We describe our treatment strategy with primary PCI and the difficulties we encountered: insufficient length of balloon and stent shafts and need for deep intubation of the graft with the guiding catheter. The procedure was complicated by graft dissection that was successfully treated with a DES. Afterwards we successfully stented the culprit lesion. We discuss technical possibilities for overcoming such difficulties and present brief review of literature on STEMI in patients with previous CABG.

Keywords

Culprit Lesion Septal Branch Culprit Vessel Terumo Corporation Promus Element 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Japanese Association of Cardiovascular Intervention and Therapeutics 2014

Authors and Affiliations

  • Francesco Meucci
    • 1
  • Miroslava Stolcova
    • 1
  • Paolo Valoti
    • 1
  1. 1.Heart and Vessels DepartmentCareggi HospitalFlorenceItaly

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