Key result
Covered stents for coronary rupture can cause acute recurrent occlusion and postinfarction VSD.
Why the study?
The risk of postinfarction ventricular septal defect after emergent covered stent implantation for ruptured coronary arteries during PCI and the role of coronary bypass surgery for long-term patency are not well defined.
Population
A patient with ruptured left anterior descending artery during PCI
Comparison
Covered stent implantation as rescue procedure vs coronary bypass surgery consideration
Design
Case report
Authors
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Risks of covered stents in coronary rupture warrant caution; single case leaves open whether bypass offers better outcomes.
Case Report (n=1)
Emergent covered stent implantation for ruptured coronary arteries carries a risk of complete occlusion and subsequent complications like ventricular septal defect, suggesting coronary bypass surgery should be considered for superior long-term patency.
Chon et al. (2012) conducted a case report in Postinfarct ventricular septal defect after coronary covered stent implantation (n=1). Jostent polytetrafluoroethylene (PTFE)-covered stent was evaluated on Clinical outcome (development of VSD and subsequent surgical repair). Emergent implantation of a covered stent for a ruptured coronary artery can lead to acute recurrent occlusion and postinfarction ventricular septal defect, suggesting coronary bypass surgery should be considered.
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