Successful long-term therapy following saphenous vein-covered stent deployment for atherosclerotic coronary aneurysm.
We describe a case of atherosclerotic aneurysm involving the left main coronary artery in a patient with prior coronary artery bypass surgery. A saphenous vein-covered stent was used to seal the aneurysm in conjunction with conventional stenting of an associated native vessel coronary stenosis. Focal late restenosis involving the stent graft was successfully treated with repeat angioplasty and brachytherapy. Autologous vein-covered stent deployment should be considered in the treatment of symptomatic or progressively enlarging coronary aneurysms.
Kereiakes
Dean J
DJ
The Lindner Center for Research and Education, Ohio Heart Health Center, Cincinnati, Ohio 45219, USA. lindner@fuse.net
Broderick
Thomas M
TM
Howard
Wendy L
WL
Anderson
Linda C
LC
Weber
Mark
M
Mitts
Donald L
DL
D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications; D023903:Coronary Restenosis / Q000628:therapy; D023921:Coronary Stenosis / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents