Author + information
- Received July 13, 2017
- Accepted July 26, 2017
- Published online September 18, 2017.
- Rayyan Hemetsberger, MDa,∗ (, )
- Osman Gürocak, MDa,
- Mohamad Soud, MDb,
- Hector M. Garcia-Garcia, MD, PhDb,
- Joachim Weber-Albers, MDa,
- Holger Nef, MDc and
- Helge Möllmann, MDa
- aInternal Medicine I – Cardiology, Nephrology, Intensive Care and Rhythmology, St. Johannes Hospital Dortmund, Dortmund, Germany
- bInterventional Cardiology, Medstar Washington Hospital Center, Washington, DC
- cDepartment of Cardiology, University of Giessen, Giessen, Germany
- ↵∗Address for correspondence:
Dr. Rayyan Hemetsberger, St. Johannes Hospital Dortmund, Internal Medicine I – Cardiology, Nephrology, Intensive Care and Rhythmology, Johannesstrasse 9-13, 44137 Dortmund, Germany.
A 33-year-old man presented with non–ST-segment elevation myocardial infarction (NSTEMI), received a 2.5 mm × 28.0 mm bioresorbable scaffold (Absorb, Abbott Vascular, Santa Clara, California) into the left circumflex coronary artery after pre-dilation (Figures 1A and 1B). Thirteen months later, the patient experienced another NSTEMI. Coronary artery angiogram showed an aneurysm developed at the previously scaffolded site (Figure 1C). Subsequent optical coherence tomography revealed an extensive thrombus measuring 10 mm in length, adhering the aneurysmal wall and thought to be the source of distal embolization that resulted in an NSTEMI (Figures 1D to 1H, Online Video 1). The proximal reference lumen area measured 3.42 mm2 with a maximal diameter of 2.35 mm and was enlarged to a maximal aneurysmal lumen area of 12.23 mm2 with a maximal diameter of 4.43 mm, whereas the in-lying thrombus prevented to measure the definite extent. To avoid further distal embolization a covered stent (PK Papyrus, Biotronik, Berlin, Germany) was implanted to seal the complete aneurysm (Figures 1I and 1J).
For a supplemental video and its legend, please see the online version of this article.
Dr. Nef has served as a consultant for St. Jude Medical. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received July 13, 2017.
- Accepted July 26, 2017.
- 2017 American College of Cardiology Foundation