Aortitis syndrome with repeated restenoses of a drug eluting stent
Katayama, Y.; Sato, H.; Kitajima, S.; Yoshitake, S.; Noguichi, R.; Furukawa, K.; Okazaki, Y.; Morita, S.
Kyobu Geka. Japanese Journal of Thoracic Surgery 62(5): 364-368
2009
ISSN/ISBN: 0021-5252 PMID: 19425374 Document Number: 633181
The patient was a 49-year-old female who developed acute myocardial infarction of the right coronary artery in August 2005. In a short period of time, the patient had restenosis repeatedly after percutaneous coronary intervention (PCI). Restenosis could not be prevented even with a drug eluting stent (DES), and thus, off-pump coronary artery bypass grafting (OPCAB) was performed. The diagnosis of aortitis syndrome was made due to protracted postoperative inflammation. Aortitis syndrome was determined to be the main cause of repeated restenosis. This case was a middle-aged female who had restenosis in a short period of time, and aortitis syndrome should have been included in the differential diagnosis. Although some positive results have been reported on DES placement for coronary lesions of aortitis syndrome, DES was completely ineffective in our patient. Further studies with more patients are necessary to examine the effectiveness of DES.