First-in-Human Computational Preprocedural Planning of Left Main Interventions Using a New Everolimus-Eluting Stent.

Left main coronary artery stenting requires rigorous planning and optimal execution. This case series presents a new approach to left main stenting guided by preprocedural patient-specific computational simulations. Three patients with significant left main artery disease underwent simulation-guided intervention using a novel stent scaffold purpose-built for large coronary arteries. (Level of Difficulty: Advanced.).

Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!

BACKGROUND: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women. CASE PRESENTATION: We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territory. She was successfully treated both times with drug eluting stents. MRI showed an evidence of transmural infarction but her ejection fraction was only mildly reduced. She had good short term outcome. CONCLUSION: High index of suspicion is crucial for early diagnosis and prompt medical and interventional management in patients with SCAD.