The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

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Visualisation of a coronary stent presenting late mechanical failure in an aberrant left circumflex artery with coronary computed tomography angiography and optical coherence tomography

EuroIntervention 2013;8:1464-1465. DOI: 10.4244/EIJV8I12A221

1. Cardiology Centre, University of Szeged, Szeged, Hungary; 2. Department of Radiology, University of Szeged, Szeged, Hungary
A 56-year-old male was admitted with NSTEMI and underwent percutaneous coronary intervention with bare metal (cobalt-chromium) stent implantation (3.0×24 mm, 16 atm, post-dilated with 3.0×20 mm non-compliant balloon, 20 atm) in the mid segment of an anomalous circumflex artery (retroaortic course from the right sinus of Valsalva). The patient remained asymptomatic for five years post-procedure, when he presented with mild atypical chest pain. Myocardial stress perfusion scintigraphy detected no transient ischaemia; however, due to his persisting symptoms, a coronary computed tomography angiography was performed. This revealed restenosis and chronic recoil in the implanted stent (Online Figure 1). On follow-up angiography prominent hinge motion at the ...

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