Treatment of a giant coronary artery aneurysm: intravascular ultrasound and optical coherence tomography findings.
| Autor: | Dutary J; Department of Interventional Cardiology, Cardiovascular Institute, Clinico San Carlos University Hospital, Madrid, Spain., Zakhem B, DE Lucas CB, Paulo M, Gonzalo N, Alfonso F |
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| Jazyk: | angličtina |
| Zdroj: | Journal of interventional cardiology [J Interv Cardiol] 2012 Feb; Vol. 25 (1), pp. 82-5. Date of Electronic Publication: 2011 May 22. |
| DOI: | 10.1111/j.1540-8183.2011.00659.x |
| Abstrakt: | A giant coronary aneurysm (GCA) partially thrombosed was demonstrated in a 77-year-old patient evaluated for an inferior myocardial infarction. Primary angioplasty (balloon only) with suboptimal result was initially obtained. After triple antiplatelet and anticoagulation therapy (4 days), a new angiography was performed and a fusiform GCA was clearly delineated. A second percutaneous intervention was performed using a "scaffolding technique" with conventional stent and subsequent implantation of 2 polytetrafluoroethylene-covered stents to successfully exclude the aneurysm. This case demonstrates a novel technique to treat long GCA. (©2011, Wiley Periodicals, Inc.) |
| Databáze: | MEDLINE |
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