Satisfactory arterial healing after second-generation drug-eluting stent implantation for segmental stenosis in a patient with Kawasaki disease

Excerpt

A 40-year-old male with past history of Kawasaki disease (KD) became sudden cardiac arrest. Emergent coronary angiography (CAG) showed total occlusion of left main trunk (LMT) and segmental stenosis of right coronary artery (RCA), which were recanalized vessels in the occluded coronary aneurysm (Fig. 1A, a–d). After the treatment of LMT lesion, platinum–chromium everolimus-eluting stent (Promus PREMIER^® 3.0 × 38 mm) was implanted for the RCA lesion to obtain complete revascularization (Fig. 1B, e–h). Follow-up CAG was performed at 12 months (Fig. 1C) with optical frequency domain imaging (OFDI) and coronary angioscopy (CAS). OFDI demonstrated almost all stent struts which were covered with homogeneous and signal-rich neointima (Fig. 1C, i–k). CAS revealed that stent struts were embedded in the white neointima, without evidence of thrombus or yellow plaque (Fig. 1C, l–n).

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