A 37 year-old female who had suffered from arteritis for 20 years underwent a Bentall operation. Since severe stenosis was observed in her left main coronary artery (LMCA) the following year, a minimally invasive direct coronary artery bypass (MIDCAB) operation was performed. Unfortunately, she again complained of angina about 6 months after the second surgery and coronary angiography (CAG) revealed that her left internal thoracic artery graft was totally occluded. Although a 4.0 × 15 mm S670 stent was placed in her LMCA, the LMCA restenosed every 3 months and she underwent reintervention 8 times. We placed 2 sirolimus-eluting stents for treating the LMCA using the culottes stenting technique. CAG 6 months after the index procedure showed no stenosis at her LMCA. Sirolimus-eluting stents were effective for treating stenosis resulting from arteritis as well as that caused by atherosclerosis. Copyright © 2006 by the International Heart Journal Association.
CITATION STYLE
Sakai, H., Oyama, N., Kishimoto, N., Takahashi, M., Urasawa, K., & Tsutsui, H. (2006). Revascularization of malignant coronary instent restenosis resulting from Takayasu’s arteritis using sirolimus-eluting stents. International Heart Journal, 47(5), 795–801. https://doi.org/10.1536/ihj.47.795
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