Giant coronary artery aneurysm of the left main treated with a covered stent: a case report.

Autor:	Holvoet W; Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL), Schiepse Bos 6, 3600 Genk, Belgium., van den Buijs D; Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL), Schiepse Bos 6, 3600 Genk, Belgium., Bogaerts E; Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL), Schiepse Bos 6, 3600 Genk, Belgium., Willems E; Department of Radiology, Ziekenhuis Oost-Limburg, Genk (ZOL), Schiepse Bos 6, 3600 Genk, Belgium., Ameloot K; Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL), Schiepse Bos 6, 3600 Genk, Belgium., Dens J; Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL), Schiepse Bos 6, 3600 Genk, Belgium.
Jazyk:	angličtina
Zdroj:	European heart journal. Case reports [Eur Heart J Case Rep] 2022 Dec 07; Vol. 7 (1), pp. ytac463. Date of Electronic Publication: 2022 Dec 07 (Print Publication: 2023).
DOI:	10.1093/ehjcr/ytac463
Abstrakt:	Background: Coronary artery aneurysms (CAAs) of the left main represent a small subset of coronary artery disease and are associated with cardiovascular death. Because of its rare entity, large data are lacking and therefore treatment guidelines are missing. Case Summary: We describe a case of a 56-year-old female with a past medical history of spontaneous dissection of the distal descending left artery (LAD) 6 years before. She presented to our hospital with a non-ST elevation myocardial infarction and a coronary angiogram showed a giant saccular aneurysm of the shaft of the left main coronary artery (LMCA). Given the risk of rupture and distal embolization, the heart team decided to go for a percutaneous approach. Based on a pre-interventional 3D reconstructed CT scan and guided by intravascular ultrasound, the aneurysm was successfully excluded with a 5 mm papyrus-covered stent. At 3-month and 1-year follow-up, the patient is still asymptomatic and repeat angiographies showed full exclusion of the aneurysm and the absence of restenosis in the covered stent. Discussion: We describe the successful percutaneous IVUS-guided treatment of a giant LMCA shaft coronary aneurysm with a papyrus-covered stent with an excellent 1-year angiographic follow-up showing no residual filling of the aneurysm and no stent restenosis. Competing Interests: Conflict of interest: None declared (© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.)
Databáze:	MEDLINE
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