Coronary artery aneurysm after stent implantation: acute and long-term results after percutaneous treatment with a stent graft.
A patient with unstable angina was treated with elective Palmaz-Schatz stent implantation on a focal stenosis of the left circumflex artery. One year later, a large (13 mm in diameter) coronary artery aneurysm was diagnosed at angiography in the stented site. Intravascular ultrasound examination confirmed the presence of a true aneurysm located at the proximal end of the stent. The aneurysm was successfully treated with a Jostent Graft (Jomed Implantate) consisting of two slotted tube stainless steel stents supporting a polytetrafluoroethylene tube. The stent graft was implanted under intravascular ultrasound guidance. The 18-month angiographic follow-up showed good patency of the stent graft and complete exclusion of the aneurysm.
Rubartelli
Paolo
P
Divisione di Cardiologia Ospedale San Martino Largo Rosanna Benzi, 10 16132 Genova. prubartelli@smartino.ge.it
Terzi
Giacomo
G
Borgo
Lorenzo
L
Giachero
Corinna
C
D000789:Angina, Unstable / Q000628:therapy; D003323:Coronary Aneurysm / Q000209:etiology* / Q000628:therapy; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*