Author(s)

Hui Hui¹, Yousheng Yuan², Zhaoqian Wang², Yana Dou³, Xixia Sun², Yujie Zou², Chongfu Jia^2*

¹Department of Cardiology, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, Dalian, China.
²Department of Cardiovascular Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
³Diagnostic Imaging, Siemens Healthcare Ltd., Beijing, China.

Background: Pericoronary fat stranding (PCFS) is a novel noninvasive imaging sign of coronary inflammation, and has important implications for cardiovascular risk stratification, and the outcome of percutaneous coronary intervention (PCI) for coronary heart disease patients with pericoronary fat stranding remains unknown. Aim: We report two rare cases of PCI-treated coronary heart disease patients with severe PCFS. Case Presentation: This is the first report of two rare cases of PCI for patients with coronary heart disease surrounded by severe PCFS. We demonstrated that the outcome in these cases is poor, and in-stent restenosis or occlusion occurs rapidly within 2- 6 months following PCI. However, Case 2 underwent coronary artery bypass grafting after the rapid occurrence of in-stent occlusion, and the bypass graft remained intact over the 5 years following coronary artery bypass grafting. Conclusion: Coronary artery bypass grafting rather than PCI may be appropriate for coronary heart disease patients with severe PCFS.

Computed Tomographic Angiography, Coronary Artery Disease, Pericoronary Fat, Percutaneous Coronary Intervention, Outcome

Hui, H. , Yuan, Y. , Wang, Z. , Dou, Y. , Sun, X. , Zou, Y. and Jia, C. (2021) Unfavorable Outcome of Percutaneous Coronary Intervention for Coronary Heart Disease with Rare Severe Pericoronary Fat Stranding. World Journal of Cardiovascular Diseases, 11, 292-297. doi: 10.4236/wjcd.2021.116028.