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OCT: A Modality for Identifying Stent Failure in Pediatric Patients With Angiographically Silent Coronary Arteries (JACC: Case Reports June 2021)

We present the case of a 16-year-old patient with anomalous left coronary artery from the left pulmonary artery requiring percutaneous coronary intervention in infancy who presented with ventricular fibrillation arrest. A coronary angiogram revealed 40% narrowing of the stent relative to the remainder of the left main coronary artery. Optical coherence tomography was performed and revealed an area stenosis of 70% relative to the native left main coronary artery. The patient had outgrown the stent.

JACC Editor-in-Chief 

Julia Grapsa, MD, PhD, FACC

CME Editor 

Nadeen N. Faza, MD, FACC


Dionysios Pepelassis, MD

Kunal Minhas, MD

Ruochen Mao, MD

James-Yashu Coe, MD


Important Dates


Date of Release: June 16, 2021
Term of Approval/Date of CME/MOC/ECME Expiration: June 15, 2022


Availability: Retired
Cost: FREE
Credit Offered:
No Credit Offered
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