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A Journal on Surgery

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Chirurgia 2008 February;21(1):25-7

language: English

Early stent thrombosis after rescue of right coronary artery rupture with stent-grafts

Arslan B. 1, Kayhan B. 1, Cantürk E. 1, Gençbay M. 2

1 TDV 29 May›s Hospital Cardiovascular Surgery Department, Fatih, ‹stanbul, Turkey
2 TDV 29 May›s Hospital, Cardiology Department Fatih, Istanbul, Turkey


Here is presented a 42-year old woman accepted in hospital with unstable angina pectoris. Elective coronary angiography revealed right coronary artery disease. Critical stenoses in the midpart of the right coronary artery was treated with a stent deployment. Coronary rupture occured with contrast leak into the pericardium when angioplasty baloon inflated second time with high presure to resolve residual stenosis. Stent-graft deployment successfully sealed the rupture and pericardiocentesis resolved the cardiac tamponade. Unfortunately this stent was thrombosed 15 days later. Primary baloon angioplasty and a new stent placement for distal coronary dissection provided vessel patency. Availability of stent-grafts is very important in management of coronary rupture but they also are not free of early and late complications.

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