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Friable but treatable: coronary artery dissections in Ehlers-Danlos syndrome.
- Source :
-
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2013 Jan 01; Vol. 81 (1), pp. 75-9. Date of Electronic Publication: 2012 Mar 15. - Publication Year :
- 2013
-
Abstract
- Vascular Ehlers-Danlos syndrome is a rare connective tissue disorder associated with arterial dissection or rupture. Percutaneous coronary intervention (PCI) is often critical in patients with this syndrome because their coronary arteries are prone to dissection, enhancing the risk of stent borders dissection when conventional stent deployment pressures are used. Coronary artery bypass graft (CABG) treatment for these patients may also raise concerns because the left internal mammary artery is probably friable. Therefore, coronary artery revascularization in vascular Ehlers-Danlos syndrome either using PCI or CABG is challenging due to the arteries friability. A small number of cases have been published describing the friability of the vessels and associated complications; nevertheless, the optimum treatment remains unclear. We report the case of a 54-year-old woman treated successfully with PCI and CABG in two different acute coronary syndrome episodes, in which specific technical issues related to both procedures were decisive.<br /> (Copyright © 2011 Wiley Periodicals, Inc.)
- Subjects :
- Aortic Dissection diagnostic imaging
Angioplasty, Balloon, Coronary adverse effects
Chest Pain diagnosis
Chest Pain etiology
Coronary Aneurysm diagnostic imaging
Coronary Angiography methods
Coronary Artery Bypass methods
Coronary Stenosis complications
Coronary Stenosis diagnostic imaging
Ehlers-Danlos Syndrome diagnosis
Female
Follow-Up Studies
Humans
Middle Aged
Risk Assessment
Severity of Illness Index
Stents
Treatment Outcome
Aortic Dissection surgery
Angioplasty, Balloon, Coronary methods
Coronary Aneurysm surgery
Coronary Stenosis therapy
Ehlers-Danlos Syndrome complications
Internal Mammary-Coronary Artery Anastomosis methods
Subjects
Details
- Language :
- English
- ISSN :
- 1522-726X
- Volume :
- 81
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
- Publication Type :
- Academic Journal
- Accession number :
- 22422654
- Full Text :
- https://doi.org/10.1002/ccd.23453