‘Rail track picture’: diagnosis of the protruding of left main coronary stent by transthoracic echocardiography especially with three-dimensional images

Abstract

An 81-year-old man with history of coronary artery disease involving left main coronary artery (LMCA) and triple vessels had undergone coronary artery bypass graft in October 2000. Recurrent angina occurred in March 2009, and reversible ischaemia over the lateral wall was noted by thallium-201 myocardial perfusion scan. Percutaneous coronary intervention performed and a bare metal stent (Liberte'; 5.0 × 32 mm) deployed from an ostial LMCA to the proximal left circumflex artery without the guidance of …