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Sixty-Year-Old Man With Crescendo Angina

1995; Lippincott Williams & Wilkins; Volume: 92; Issue: 7 Linguagem: Inglês

10.1161/01.cir.92.7.2001

1524-4539

Boris D. Núñez, Edward T. Keelan, John F. Bresnahan,

Coronary Artery Anomalies

HomeCirculationVol. 92, No. 7Sixty-Year-Old Man With Crescendo Angina Free AccessResearch ArticleDownload EPUBAboutView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessResearch ArticleDownload EPUBSixty-Year-Old Man With Crescendo Angina Boris D. Núñez, Edward T. Keelan and John F. Bresnahan Boris D. NúñezBoris D. Núñez From the Mayo Clinic, Rochester, Minn. , Edward T. KeelanEdward T. Keelan From the Mayo Clinic, Rochester, Minn. and John F. BresnahanJohn F. Bresnahan From the Mayo Clinic, Rochester, Minn. Originally published1 Oct 1995https://doi.org/10.1161/01.CIR.92.7.2001Circulation. 1995;92:2001Bailout stenting has become an important therapy for acute closure after percutaneous transluminal coronary angioplasty. The case illustrated was a 60-year-old man with crescendo angina. Coronary arteriography revealed significant stenoses in the mid and distal right coronary artery (Fig 1). He underwent balloon angioplasty. The procedure was complicated by a guiding catheter–induced dissection of the proximal vessel, which led to abrupt closure (Fig 2). This dissection was seen to have propagated as far as the distal right coronary artery and necessitated the placement of six coronary stents (five Wiktor stents and one Cook Flexstent). The five Wiktor stents are radiopaque and are visualized in Fig 3. The Cook stent, which was placed at the ostium of the vessel, is radiolucent and thus is not seen. Final angiography showed a widely patent vessel with normal antegrade flow (Fig 4).The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.Download figureDownload PowerPoint Figure 1. Download figureDownload PowerPoint Figure 2. Download figureDownload PowerPoint Figure 3. Download figureDownload PowerPoint Figure 4. FootnotesCorrespondence to Boris D. Núñez, MD, Mayo Clinic, 200 First St SW, Rochester, MN 55905. Previous Back to top Next FiguresReferencesRelatedDetailsCited By COLOMBO A (1997) Coronary Stenting: Current State of the Art, Journal of Interventional Cardiology, 10.1111/j.1540-8183.1997.tb00023.x, 10:2, (137-144), Online publication date: 1-Apr-1997. Mudra H, Werner F, Regar E, Klauss V, Henneke K, Rothman M and di Mario C (1997) One balloon approach for optimized Palmaz-Schatz stent implantation: The MUSCAT trial, Catheterization and Cardiovascular Diagnosis, 10.1002/(SICI)1097-0304(199710)42:2 3.0.CO;2-E, 42:2, (130-136), Online publication date: 1-Oct-1997. October 1, 1995Vol 92, Issue 7 Advertisement Article InformationMetrics Copyright © 1995 by American Heart Associationhttps://doi.org/10.1161/01.CIR.92.7.2001 Originally publishedOctober 1, 1995 Advertisement