Ruptured giant right coronary artery aneurysm percutaneously plugged.
The endovascular management of a patient with a ruptured giant coronary aneurysm presenting with chest pain followed by anterior chest wall ecchymosis and shock is described. The inflow to a large, acutely leaking right coronary aneurysm was successfully sealed with the Amplatzer Vascular Plug device. The patient was estimated to be at very high risk for surgical intervention. The use of this device to seal an acutely leaking coronary aneurysm has not been previously described.
Hillegass
William B
WB
Interventional Cardiovascular Section, Cardiovascular Division, University of Alabama at Birmigham, Birmingham, AL 35294-0012, USA. whillegass@cardmail.dom.uab.edu
Gupta
Himanshu
H
Katragadda
Raghunath
R
Knoblauch
Johnnie
J
Coghlan
Cecil
C
Misra
Vijay K
VK
D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002637:Chest Pain / Q000209:etiology; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004438:Ecchymosis / Q000209:etiology; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012769:Shock / Q000209:etiology; D014057:Tomography, X-Ray Computed