The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Zhbanov I.V.

Petrovsky Russian Scientific Center of Surgery

Martirosyan A.K.

Petrovsky National Research Center of Surgery

Plotnikov N.A.

Petrovsky Russian Scientific Center of Surgery

Kiladze I.Z.

Petrovsky National Research Center of Surgery

Tazin S.A.

Petrovsky National Research Center of Surgery

Removal of a fully metallized right coronary artery with stents and multiple false aneurysms after previous recanalization of chronic occlusion and sequential stenting along the entire length

Authors:

Zhbanov I.V., Martirosyan A.K., Plotnikov N.A., Kiladze I.Z., Tazin S.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(11): 122‑128

DOI: 10.17116/hirurgia2025111122

Read: 346 times

Buy for 300₽
Contact the author
Table of contents

REMOVAL OF A FULLY METALLIZED RIGHT CORONARY ARTERY WITH STENTS AND MULTIPLE FALSE ANEURYSMS AFTER PREVIOUS RECANALIZATION OF CHRONIC OCCLUSION AND SEQUENTIAL STENTING ALONG THE ENTIRE LENGTH
REMOVAL OF A FULLY METALLIZED RIGHT CORONARY ARTERY WITH STENTS AND MULTIPLE FALSE ANEURYSMS AFTER PREVIOUS RECANALIZATION OF CHRONIC OCCLUSION AND SEQUENTIAL STENTING ALONG THE ENTIRE LENGTH

To cite this article:

Zhbanov IV, Martirosyan AK, Plotnikov NA, Kiladze IZ, Tazin SA. Removal of a fully metallized right coronary artery with stents and multiple false aneurysms after previous recanalization of chronic occlusion and sequential stenting along the entire length. Pirogov Russian Journal of Surgery. 2025;(11):122‑128. (In Russ.)
https://doi.org/10.17116/hirurgia2025111122

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Recommended articles:
Stentectomy following percutaneous coro­nary inte­rvention complicated by perforation of distal anastomosis after previous coro­nary artery bypass grafting. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(1):109-114
Hemo­dynamic para­meters of venous return and their role in asse­ssment of fluid responsiveness in cardiac surgery. Russian Journal of Anesthesiology and Reanimatology. 2025;(2):6-12
In-hospital resu­lts of coro­nary artery bypass grafting in patients with coro­nary artery disease and unve­rified distal coro­nary bed. Russian Cardiology Bulletin. 2025;(1):81-89
Cognitive impairment after major surgical operations. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4-2):74-80
Strain echo­cardiography for perioperative asse­ssment of the left ventricle and left atrium in patients unde­rgoing coro­nary artery bypass surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(3):269-279
Opti­mal cardioplegia for coro­nary artery bypass grafting in patients with heart failure: a randomized study. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):405-411
Predictors of acute kidney disease in patients with stable angina after coro­nary artery bypass grafting. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):412-417
Cognitive reha­bilitation technology using a combination of postural training and simu­ltaneous cognitive task in prevention of cognitive impairment after coro­nary artery bypass grafting. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):418-427
Factors dete­rmining the effe­ctiveness of various anti­thrombotic therapy regi­mens after coro­nary artery bypass surgery in patients with diffuse lesions and small diameter of coro­nary arte­ries: a 12-month prospective follow-up. Russian Cardiology Bulletin. 2025;(3):25-35
Computer cognitive training for prevention of postoperative cognitive dysfunction after simu­ltaneous coro­nary artery bypass grafting and caro­tid artery surgery: a pilot study. Russian Cardiology Bulletin. 2025;(3):54-61
Abstract:

Despite the latest advances in pharmacological, endovascular and surgical treatment of patients with coronary artery atherosclerosis, coronary artery disease is still the leading cause of disability and mortality. Since 2019, more than 10% of coronary artery bypass grafting surgeries have been performed after previous coronary artery stenting. With expansion of indications and high classes of recommendations for percutaneous coronary interventions, patients with total stenting of ≥1 coronary artery are common. This creates a very serious problem for coronary artery bypass surgery. The phenomenon of total metallization of coronary artery, known as a full metal jacket, has arisen. We have encountered a rare case of previous recanalization of chronic prolonged occlusion and subsequent stenting of the right coronary artery along the entire length complicated by multiple perforations and false aneurysms. We present a patient with such a complication who required surgical treatment and manipulations with totally metallized right coronary artery.

Keywords:

coronary artery bypass grafting
full metal jacket
totally metallized coronary artery

Authors:

Zhbanov I.V.

Petrovsky Russian Scientific Center of Surgery

Martirosyan A.K.

Petrovsky National Research Center of Surgery

Plotnikov N.A.

Petrovsky Russian Scientific Center of Surgery

Kiladze I.Z.

Petrovsky National Research Center of Surgery

Tazin S.A.

Petrovsky National Research Center of Surgery

Received:

13.08.2025

Accepted:

10.09.2025

Close metadata

References:

  1. Vaysman DSh, Enina EN. Mortality rates from ischemic heart disease in the Russian Federation and some regions: features of dynamics and structure. Cardiovascular Therapy and Prevention. 2024;23(7):3975. (In Russ.). https://doi.org/10.15829/1728-8800-2024-3975
  2. Stone GW, Kappetein AP, Sabik JF, Pocock SJ, Morice MC, Puskas J, Kandzari DE, Karmpaliotis D, Brown WM 3rd, et al.; EXCEL Trial Investigators. Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease. N Engl J Med. 2019;381(19):1820-1830. Epub 2019 Sept 28. Erratum in: N Engl J Med. 2020 Mar 12;382(11):1078. https://doi.org/10.1056/NEJMx200004
  3. Ekici B, Erkan AF, Kütük U, Töre HF. Successful management of coronary artery rupture with stent-graft: a case report. Case Rep Med. 2014;2014:391843. https://doi.org/10.1155/2014/391843
  4. El-Gamel A, Chan B. Full Metal Jacket Endarterectomy of Left Anterior Descending Coronary Artery is Safe With Good Midterm Outcomes. Heart Lung Circ. 2021;30(4):605-611.  https://doi.org/10.1016/j.hlc.2020.08.007
  5. Soliman R, Ohri S, Hagag M, Rasekh F. Early and Midterm Results of Stent Endarterectomy for Left Anterior Descending Coronary Artery “Full Metal Jacket”. Heart Surg Forum. 2021;24(3):E467-E473. https://doi.org/10.1532/hsf.3805
  6. Alekyan BG, Staferov AV, Zakaryan NV, Fozilov HG. Types of complications of percutaneous coronary interventions in patients with ischemic heart disease. Thoracic and Cardiovascular Surgery. 2010;6:27-34. (In Russ.).
  7. Harnek J, James S, Lagerqvist B. Coronary artery perforation and tamponade: incidence, risk factors, predictors and outcomes from 12 years’ data of the SCAAR registry. Circ J. 2019;84:43-53.  https://doi.org/10.1253/circj.CJ-19-0757
  8. Shaukat A, Tajti P, Sandoval Y, et al. Incidence, predictors, management and outcomes of coronary perforations. Catheter Cardiovasc Interv. 2019;93:48-56.  https://doi.org/10.1002/ccd.27706
  9. Moroni F, Brilakis ES, Azzalini L. Chronic total occlusion percutaneous coronary intervention: managing perforation complications. Expert Rev Cardiovasc Ther. 2021;19:71-87.  https://doi.org/10.1080/14779072.2021.1850264
  10. Salisbury AC, Karmpaliotis D, Grantham JA, Sapontis J, Meng Q, Magnuson EA, Gada H, Lombardi W, Moses J, Li H, Arnold SV, Baron SJ, Spertus JA, Cohen DJ. In-Hospital Costs and Costs of Complications of Chronic Total Occlusion Angioplasty: Insights From the OPEN-CTO Registry. JACC Cardiovasc Interv. 2019;12(4):323-331.  https://doi.org/10.1016/j.jcin.2018.10.025
  11. Chen S, Lotan C, Jaffe R, Rubinshtein R, Ben-Assa E, Roguin A, Varshitzsky B, Danenberg HD. Pericardial covered stent for coronary perforations. Catheter Cardiovasc Interv. 2015;86(3):400-404.  https://doi.org/10.1002/ccd.26011
  12. Marmagkiolis K, Brilakis ES, Hakeem A, Cilingiroglu M, Bilodeau L. Saphenous vein graft perforation during percutaneous coronary intervention: a case series. J Invasive Cardiol. 2013;25(3):157-161. 
  13. Elsner M, Zeiher AM. [Perforation und Ruptur von Koronararterien Perforation and rupture of coronary arteries]. Herz. 1998;23(5):311-318. (In German). https://doi.org/10.1007/BF03044364
  14. Serruys PW, Morice MC, Kappetein AP, Colombo A, et al. Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease. N Eng J Med. 2008;360:961-972. 
  15. Booth J, Clayton T, Pepper J, Nugara F, et al. Randomized controlled trial of coronary artery bypass surgery versus percutaneous coronary intervention in patients with multivessel coronary artery disease: six-year follow-up from the Stent or Surgery Trial. Circulation. 2008;118(4):381-388. 
  16. Fefer P, Knudtson ML, Cheema AN, Galbraith PD, Osherov AB, Yalonetsky S, Gannot S, Samuel M, Weisbrod M, Bierstone D, Sparkes JD, Wright GA, Strauss BH. Current perspectives on coronary chronic total occlusions: the Canadian Multicenter Chronic Total Occlusions Registry. J Am Coll Cardiol. 2012;59(11):991-997.  https://doi.org/10.1016/j.jacc.2011.12.007
  17. Kobayashi Y, et al. Stented segment length as an independent predictor of restenosis. J Am Coll Cardiol. 1999;3(4):3:651-659. 
  18. Atoui R, Mohammadi S, Shum-Tim D. Surgical extraction of occluded stents: when stenting becomes a problem. Interact Cardiovasc Thorac Surg. 2009;9(4):736-738.  https://doi.org/10.1510/icvts.2009.210633
  19. Calafiore AM, Gaudino M. Complex surgical coronary revascularization: Endarterectomy, stentectomy and other nightmare scenarios. Technical Aspects of Modern Coronary Artery Bypass Surgery. Academic Press; 2021:337-347. 
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.