Successful PTFE Stenting by Dr. Sarat Chandra for a Complicated Case
The patient Mr. B – a 57-year-old man came to us with a recent anterior wall MI and after having undergone PTCA with 2 stents in the left anterior descending artery (LAD) at Gulbarga. Within a few days after being discharged from the Gulbarga hospital, he went back to the same hospital with breathlessness and chest pain symptoms. When Echo was done it showed moderate sized pericardial effusion. Angiography was repeated to know the cause. Angiogram showed multiple small to moderate sized coronary artery aneurysms along the LAD.
Patient was referred to Dr. Sarat Chandra for further management. After examination of the patient, there were no signs of failure or pericardial rub were found. We have done his pericardiocentesis and removed 500 ml of serosanguinous fluid. Usually, manifestation of such aneurysms within a short period after PTCA with stents is a result of infection within the vessel wall. Bacteria might have been embedded during the procedure. In view of multiple aneurysms it was decided to put stent grafts in LAD and exclude them completely. The procedure was done using three stent grafts.
Stent grafts are stents over which PTFE graft material is hand stitched – to ensure the prevention of blood from going sideways.
And therefore, when they are implanted inside a vessel, they can prevent blood from entering the aneurysm. The patient recovered very well and he was administered dual anti platelets along with a course of antibiotics with no further clinical issue.
Successful PTFE Stenting for a Complicated Case
A patient from Gulbarga who had undergone PTCA with 2 stents in the LAD was found to have multiple small to moderate size coronary artery aneurysms along the LAD when referred to Dr Sarat Chandra for the management of the condition.