Stenting for Aorto-Ostial In-Stent Restenosis via Side Strut of an Excessively Protruding Stent Guided by Intracoronary Imaging

To the Editor: A 54-year-old man was admitted for progressive chest pain. Four years ago, the patient had surgical aortic valve replacement (SAVR), and preoperative multislice computed tomography (MSCT) showed no coronary stenosis. A year after SAVR, he presented with chest pain, and coronary angiogram revealed an isolated ostial left main coronary artery (LMCA) stenosis [Figure 1a]. A 4.0 mm × 18.0 mm stent (Medtronic Vascular, Santa Rosa, CA,...