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2025, Vol: 9, Issue: 4
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Case Report
Online Published: 22 Apr 2025
 


Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease

Sadeem Aleid, Taif Saleh Almutairi, Yara Mansour Alassaf, Ihab Suliman.


Abstract
Background: Coronary artery disease (CAD) is characterized by atherosclerotic plaque that blocks the coronary arteries. It is the leading cause of mortality and contributes to the decline in disability-adjusted life years worldwide. According to recent reports, the incidence of CAD has significantly increased in the Gulf region. In ST-elevation myocardial infarction, a subdivision of acute coronary syndrome, it is essential to perform emergent percutaneous coronary angiography (PCI) to confirm diagnosis and treatment.
Case Presentation: A 54-year-old male ex-smoker with a history of dyslipidemia initially presented with chest pain and loss of consciousness. He was diagnosed with an inferior myocardial infarction (MI), and coronary angiography revealed multi-vessel CAD, involving the left main coronary artery, the left circumflex artery (LCX), and the left anterior descending artery (LAD). The patient underwent a successful PCI. A few days later, he was readmitted due to pre-syncope and dizziness. Following evaluation, the management plan focused on medication compliance and follow up. Five months later, the patient experienced exertional chest pain and shortness of breath. His laboratory results showed elevated B-type natriuretic peptide, and the electrocardiogram showed signs of a prior inferior-posterior MI with sinus bradycardia. An echocardiogram revealed findings consistent with impaired left ventricular function. Moreover, angiography showed significant in-stent restenosis in the LAD and LCX arteries. The patient underwent coronary artery bypass grafting for definitive treatment.
Conclusion: This case underscores the potential risks associated with excessive coronary stenting and emphasizes the need for careful decision-making when selecting the appropriate intervention.

Key words: Key words: coronary artery disease, coronary angioplasty, coronary stenting, coronary artery bypass grafting, in-stent restenosis, case report.


 
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How to Cite this Article
Pubmed Style

Aleid S, Almutairi TS, Alassaf YM, Suliman I. Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease. IJMDC. 2025; 9(4): 1019-1023. doi:10.24911/IJMDC.51-1743253888

Web Style

Aleid S, Almutairi TS, Alassaf YM, Suliman I. Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease. https://www.ijmdc.com/?mno=249997 [Access: May 14, 2025]. doi:10.24911/IJMDC.51-1743253888

AMA (American Medical Association) Style

Aleid S, Almutairi TS, Alassaf YM, Suliman I. Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease. IJMDC. 2025; 9(4): 1019-1023. doi:10.24911/IJMDC.51-1743253888


Vancouver/ICMJE Style

Aleid S, Almutairi TS, Alassaf YM, Suliman I. Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease. IJMDC. (2025), [cited May 14, 2025]; 9(4): 1019-1023. doi:10.24911/IJMDC.51-1743253888


Harvard Style

Aleid, S., Almutairi, . T. S., Alassaf, . Y. M. & Suliman, . I. (2025) Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease. IJMDC, 9 (4), 1019-1023. doi:10.24911/IJMDC.51-1743253888


Turabian Style

Aleid, Sadeem, Taif Saleh Almutairi, Yara Mansour Alassaf, and Ihab Suliman. 2025. Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease. International Journal of Medicine in Developing Countries, 9 (4), 1019-1023. doi:10.24911/IJMDC.51-1743253888


Chicago Style

Aleid, Sadeem, Taif Saleh Almutairi, Yara Mansour Alassaf, and Ihab Suliman. "Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease." International Journal of Medicine in Developing Countries 9 (2025), 1019-1023. doi:10.24911/IJMDC.51-1743253888


MLA (The Modern Language Association) Style

Aleid, Sadeem, Taif Saleh Almutairi, Yara Mansour Alassaf, and Ihab Suliman. "Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease." International Journal of Medicine in Developing Countries 9.4 (2025), 1019-1023. Print. doi:10.24911/IJMDC.51-1743253888


APA (American Psychological Association) Style

Aleid, S., Almutairi, . T. S., Alassaf, . Y. M. & Suliman, . I. (2025) Extensive stenting is short lived: a case of recurrent ischemic heart disease post coronary intervention in a patient with multi-vessel coronary artery disease. International Journal of Medicine in Developing Countries, 9 (4), 1019-1023. doi:10.24911/IJMDC.51-1743253888




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