Late giant coronary aneurysm associated with a fracture of sirolimus eluting stent: A case report
Autor: | Tatsuhiro Fujimura, Yusaku Fukumoto, Jutaro Yamada, Takafumi Hiro, Masunori Matsuzaki, Kyounori Yasumoto, Takayuki Okamura, Takashi Fujii, Genta Hashimoto |
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Rok vydání: | 2008 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Aneurysm Restenosis Internal medicine Angioplasty Intravascular ultrasound medicine Humans cardiovascular diseases Aged Sirolimus Coronary artery aneurysm medicine.diagnostic_test business.industry Coronary Aneurysm Stent Percutaneous coronary intervention Drug-Eluting Stents Aneurysms (coronary artery aneurysm) equipment and supplies medicine.disease surgical procedures operative Conventional PCI cardiovascular system Cardiology Equipment Failure Female business Cardiology and Cardiovascular Medicine Stent (sirolimus eluting stent fracture) |
Zdroj: | Journal of Cardiology. 51(1):74-79 |
ISSN: | 0914-5087 |
DOI: | 10.1016/j.jjcc.2007.11.002 |
Popis: | SummaryA 73-year-old female underwent percutaneous coronary intervention (PCI) because of stable angina. An elective PCI for the RCA lesion was first performed with deploying sirolimus eluting stents (SES). Three weeks later, PCI was also provided in the residual LAD lesion. Eight months later, she presented with new angina. CAG revealed an in-stent restenosis in the mid LAD and a large eccentric saccular coronary aneurysm (17mm×9mm) at the proximal RCA. Intravascular ultrasound (IVUS) showed absence of stent struts around the orifice of aneurysm, which suggested a fracture of SES stent. The entry of coronary aneurysm was finally sealed with a polytetrafluoroethylene-covered stent. This report documented a rare case of late giant coronary artery aneurysm associated with a fracture of SES. |
Databáze: | OpenAIRE |
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