Late giant coronary aneurysm associated with a fracture of sirolimus eluting stent: a case report.
A 73-year-old female underwent percutaneous coronary intervention (PCI) because of stable angina. An elective PCI for the RCA lesion was first performed with deploying sirolimus eluting stents (SES). Three weeks later, PCI was also provided in the residual LAD lesion. Eight months later, she presented with new angina. CAG revealed an in-stent restenosis in the mid LAD and a large eccentric saccular coronary aneurysm (17 mm x 9 mm) at the proximal RCA. Intravascular ultrasound (IVUS) showed absence of stent struts around the orifice of aneurysm, which suggested a fracture of SES stent. The entry of coronary aneurysm was finally sealed with a polytetrafluoroethylene-covered stent. This report documented a rare case of late giant coronary artery aneurysm associated with a fracture of SES.
Division of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-kogushi, Ube, Yamaguchi 755-8505, Japan. tk-calf2@yamaguchi-u.ac.jp <tk-calf2@yamaguchi-u.ac.jp>
Takayuki
T
Okamura
Takafumi
T
Hiro
Takashi
T
Fujii
Jutaro
J
Yamada
Yusaku
Y
Fukumoto
Genta
G
Hashimoto
Tatsuhiro
T
Fujimura
Kyounori
K
Yasumoto
Masunori
M
Matsuzaki
D000368:Aged; D003323:Coronary Aneurysm / Q000209:etiology*; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D006801:Humans; D020123:Sirolimus / Q000008:administration & dosage*
D020123:Sirolimus