Repair of a coronary artery aneurysm by implantation of a coronary stent.
A 67-year-old patient developed a third restenosis with coronary artery aneurysm of the left anterior descending artery after two previous percutaneous transluminal coronary angioplasty (PTCA) procedures and one previous combined excimer-laser/balloon angioplasty. The stenosis was successfully dilated by conventional balloon technique and the aneurysm was excluded by implantation of a Palmaz-Schatz stent. Follow-up examination after 6 months revealed normal coronary artery perfusion without restenosis, whereas the aneurysm remained occluded. This case demonstrates, that stenting of a coronary artery aneurysm may be a successful method for a permanent occlusion.
Medical Clinic and Policlinic B, Department of Cardiology, Pneumology and Angiology, Heinrich-Heine-University, Düsseldorf, Germany. hennersd@uni-duesseldorf.de
M G
MG
Hennersdorf
M P
MP
Heintzen
B E
BE
Strauer
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003323:Coronary Aneurysm / Q000150:complications / Q000601:surgery*; D003327:Coronary Disease / Q000150:complications / Q000628:therapy; D006801:Humans; D008297:Male; D012008:Recurrence; D015607:Stents