PMID- 32184977
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 1949-8462 (Print)
IS  - 1949-8462 (Electronic)
VI  - 12
IP  - 2
DP  - 2020 Feb 26
TI  - Plaque herniation after stenting the culprit lesion with myocardial bridging in 
      ST elevation myocardial infarction: A case report.
PG  - 91-96
LID - 10.4330/wjc.v12.i2.91 [doi]
AB  - BACKGROUND: Myocardial bridging (MB) is increasingly recognized to stimulate 
      atherogenesis, which may contribute to an acute coronary syndrome. Stenting the 
      coronary segment with MB has been recognized to have an increased risk of 
      in-stent restenosis, stent fracture and coronary perforation. The safety and 
      efficacy of stenting the culprit lesion with overlaying MB in ST elevation 
      myocardial infarction (STEMI) as primary reperfusion therapy has not been 
      established. CASE SUMMARY: We reported a patient who presented with inferior 
      STEMI with a culprit lesion of an acute thrombotic occlusion in the right 
      coronary artery and thrombolysis and thrombin inhibition in myocardial infarction 
      0 flow. After the stent placement during primary percutaneous coronary 
      intervention, intravascular ultrasound revealed MB overlying the stented segment 
      where heavy atherosclerotic plaque were present. Likely due to the combination of 
      plaque herniation or prolapse caused by MB, as well as local increased 
      inflammation and thrombogenicity, acute stent thrombosis occurred at this region, 
      which led to acute stent failure. The patient required an emergent repeated 
      cardiac catheterization and placing a second layer of stent to enhance the radial 
      strength and reduce the inter-strut space. CONCLUSION: Plaque herniation or 
      prolapse after stenting a MB segment in STEMI is a potential etiology for acute 
      stent failure.
CI  - (c)The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights 
      reserved.
FAU - Ma, Jeffrey
AU  - Ma J
AD  - Division of Cardiology, Theresa and Eugene M. Lang Center for Research and 
      Education, New York Presbyterian - Queens Hospital, Flushing, NY 11355, United 
      States.
FAU - Gustafson, Gregory M
AU  - Gustafson GM
AD  - Division of Cardiology, Theresa and Eugene M. Lang Center for Research and 
      Education, New York Presbyterian - Queens Hospital, Flushing, NY 11355, United 
      States.
FAU - Dai, Xuming
AU  - Dai X
AD  - Division of Cardiology, Theresa and Eugene M. Lang Center for Research and 
      Education, New York Presbyterian - Queens Hospital, Flushing, NY 11355, United 
      States. xud9002@nyp.org.
LA  - eng
PT  - Case Reports
PL  - United States
TA  - World J Cardiol
JT  - World journal of cardiology
JID - 101537090
PMC - PMC7061264
OTO - NOTNLM
OT  - Acute stent thrombosis
OT  - Case report
OT  - Intravascular ultrasound
OT  - Myocardial bridging
OT  - Plaque herniation
OT  - Plaque prolapse
OT  - ST elevation myocardial infarction
COIS- Conflict-of-interest statement: All authors declared no potential conflicts of 
      interest relevant to this manuscript.
EDAT- 2020/03/19 06:00
MHDA- 2020/03/19 06:01
PMCR- 2020/02/26
CRDT- 2020/03/19 06:00
PHST- 2019/10/09 00:00 [received]
PHST- 2019/12/12 00:00 [revised]
PHST- 2019/12/23 00:00 [accepted]
PHST- 2020/03/19 06:00 [entrez]
PHST- 2020/03/19 06:00 [pubmed]
PHST- 2020/03/19 06:01 [medline]
PHST- 2020/02/26 00:00 [pmc-release]
AID - 10.4330/wjc.v12.i2.91 [doi]
PST - ppublish
SO  - World J Cardiol. 2020 Feb 26;12(2):91-96. doi: 10.4330/wjc.v12.i2.91.