An example that presented giant aneurysm of the angina pectoris after percutaneous coronary intervention.
We present the case of a 70-year-old woman who was admitted to our hospital with heart failure due to a giant left ventricular aneurysm involving the apex and severe mitral regurgitation. Three months before the hospitalization, percutaneous coronary intervention was performed for severe stenosis of the left main trunk. During the procedure, there were no abnormalities of distal coronary flow due to problems like embolization, and repeat coronary angiography, performed after stabilization of heart failure, showed no new significant stenosis. We diagnosed her condition as a subepicardial aneurysm by pathological examination of the resected specimen.
Ikeda
Nobutaka
N
Division of Cardiovascular Medicine, Toho University Medical Center, Ohashi Hospital, Tokyo, Japan. harahisa@d1.dion.ne.jp
Hara
Hisao
H
Nakajima
Rintaro
R
Shiba
Masanori
M
Wada
Masamichi
M
Tsuji
Takahiro
T
Iijima
Raisuke
R
Yoshitama
Takashi
T
Tsunoda
Taro
T
Nakamura
Masato
M
Suzuki
Makoto
M
Hase
Hiroki
H
Sugi
Kaoru
K
D000368:Aged; D000787:Angina Pectoris / Q000150:complications*; D015906:Angioplasty, Balloon, Coronary; D023921:Coronary Stenosis / Q000628:therapy; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology*; D006333:Heart Failure / Q000209:etiology; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000209:etiology