Cardiovasc Imaging Asia.  2020 Apr;4(2):51-54. 10.22468/cvia.2020.00185.

Coronary Stent Fracture in a Patient with an Atrial Septal Defect and Severe Pulmonary Hypertension

Affiliations
  • 1iatric & Congenital Heart Centre, Institut Jantung Negara, Kuala Lumpur, Malaysia

Abstract

A 38-year-old female with an atrial septal defect and severe pulmonary hypertension presented with angina. Coronary angiogram revealed compression of the proximal left main stem coronary artery. A coronary stent was placed, but the chest pain recurred soon after the procedure. Echocardiography showed protrusion of the coronary artery into the aorta with abnormal angulation of the stent, suggestive of coronary stent fracture. Subsequent CT of the coronary arteries confirmed stent fracture.

Keyword

Pulmonary hypertension; Coronary stenosis; Pulmonary artery
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