A honeycomb-like structure in the left anterior descending coronary artery treated using a scoring device and drug-eluting stent implantation: a case reportReport as inadecuate




A honeycomb-like structure in the left anterior descending coronary artery treated using a scoring device and drug-eluting stent implantation: a case report - Download this document for free, or read online. Document in PDF available to download.

Journal of Medical Case Reports

, 10:80

First Online: 01 April 2016Received: 14 February 2016Accepted: 17 March 2016DOI: 10.1186-s13256-016-0874-y

Cite this article as: Haraki, T., Uemura, R., Masuda, S. et al. J Med Case Reports 2016 10: 80. doi:10.1186-s13256-016-0874-y

Abstract

BackgroundA honeycomb-like structure in the coronary artery is rarely diagnosed by intracoronary ultrasound or optical coherence tomography. Further, its structural mechanisms and response to interventional therapy remain unknown.

Case presentationA 59-year-old Japanese man was referred to our hospital because of acute decompensated heart failure with rapid atrial fibrillation. After receiving anticoagulant therapy, a coronary angiogram revealed a braid-like appearance and an intracoronary ultrasound image confirmed a honeycomb-like structure in the mid left anterior descending coronary artery. We inserted two guide wires into different partitions. Although a balloon angioplasty with a scoring device could not completely fenestrate these partitions, a stent implant was able to completely compress the structure easily.

ConclusionsThe honeycomb-like structure of the left anterior descending coronary artery in our patient was suspected to be because of recanalization of a cardiogenic embolism. This structure may have been composed of relatively hard tissues, but was easily compressed by a stent implantation.

KeywordsHoneycomb-like structure Coronary artery Scoring devices Stent implantation Apixaban  Download fulltext PDF



Author: Tatsuo Haraki - Ryota Uemura - Shin-ichiro Masuda - Nobuhiko Kobayashi - Takeshi Lee

Source: https://link.springer.com/







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