Drug eluting stent induced coronary artery aneurysm repair by exclusion. Where are we headed?
| Autor: | Zakir Akhunji, Krishnan Ganapathy Subramaniam |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment Internal thoracic artery Anastomosis Aneurysm medicine.artery medicine Humans Saphenous Vein cardiovascular diseases Coronary Artery Bypass Thrombus Aged Coronary artery aneurysm medicine.diagnostic_test business.industry Coronary Aneurysm Stent Drug-Eluting Stents General Medicine medicine.disease Surgery surgical procedures operative Drug-eluting stent Angiography cardiovascular system Female Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Journal of Cardio-Thoracic Surgery. 36:203-205 |
| ISSN: | 1010-7940 |
| DOI: | 10.1016/j.ejcts.2009.02.054 |
| Popis: | We present a case of left anterior descending (LAD) coronary artery aneurysm at the site of previous stent placement 3 years previously. The patient presented with recent worsening of angina. Angiography and 64 slice CT angiography confirmed the presence of 6mm aneurysm of LAD at the site of previous stent involving the origin of diagonal, with thrombus proximal and distal to the stent. This patient was successfully managed by taking the posterior wall of the anterior descending artery while suturing the heel of the left internal mammary artery (LIMA)-LAD anastomosis. The idea was to create severe stenosis upstream to prevent distal embolisation from the site of aneurysm. The diagonal was grafted with a saphenous venous graft. Follow-up angiogram at 3 months demonstrated successful exclusion of the aneurysm and unobstructed flow through the grafts. |
| Databáze: | OpenAIRE |
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