Sirolimus-Eluting Stent for In-Stent Restenosis of Left Main Coronary Artery in Takayasu Arteritis

Yutaka Furukawa; Toshihiro Tamura; Masanao Toma; Mitsuru Abe; Naritatsu Saito; Natsuhiko Ehara; Ryoji Taniguchi; Yoshihisa Nakagawa; Toru Kita; Takeshi Kimura

doi:10.1253/circj.69.752

Case Report

Sirolimus-Eluting Stent for In-Stent Restenosis of Left Main Coronary Artery in Takayasu Arteritis

Yutaka Furukawa, Toshihiro Tamura, Masanao Toma, Mitsuru Abe, Naritatsu Saito, Natsuhiko Ehara, Ryoji Taniguchi, Yoshihisa Nakagawa, Toru Kita, Takeshi Kimura

Author information

Yutaka Furukawa
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Toshihiro Tamura
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Masanao Toma
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Mitsuru Abe
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Naritatsu Saito
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Natsuhiko Ehara
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Ryoji Taniguchi
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Yoshihisa Nakagawa
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Toru Kita
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
Takeshi Kimura
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine

Keywords: Left main coronary artery disease, Restenosis, Sirolimus-eluting stent, Takayasu arteritis

JOURNAL FREE ACCESS

2005 Volume 69 Issue 6 Pages 752-755

DOI https://doi.org/10.1253/circj.69.752

Details

Abstract

A 53-year-old woman with Takayasu arteritis was admitted to hospital because of worsening exertional angina. Coronary angiography revealed 90% ostial stenosis in the left main coronary artery (LMCA), which also involved the bifurcation of the relatively short LMCA. Because the patient refused coronary bypass surgery, she underwent percutaneous coronary intervention (PCI) and the stenosis was successfully dilated. However, the exertional angina recurred a few months later and again after the second PCI. Finally, a sirolimus-eluting stent was deployed in the in-stent restenotic lesion. The patient has been free from angina pectoris for 6 months after the last PCI and follow-up coronary angiography indicated no restenosis in the LMCA. (Circ J 2005; 69: 752 - 755)

Corresponding author

Register with J-STAGE for free!