title: A fractured sirolimus-eluting stent with a coronary aneurysm.
abstract: A 55-year-old man had undergone successful percutaneous intervention with a sirolimus-eluting stent, placed in the right coronary artery (2.5 x 33 mm) and distal left circumflex artery (3.0 x 28 mm) without high pressure ballooning. Twelve months later he presented with unstable angina. Angiography revealed two fracture sites on the right coronary artery-deployed stent, with a large aneurysm and an aneurysmal dilatation of the left circumflex artery without stent fracture. Due to the potential risk of aneurysmal rupture, he underwent coronary artery bypass grafting and ligation of the aneurysm.
authors.affiliation: Department of Cardiology, Konkuk University School of Medicine, Seoul, Korea.
authors.forename: Sung Hea
authors.initials: SH
authors.lastname: Kim
authors.forename: Hyun Joong
authors.initials: HJ
authors.lastname: Kim
authors.forename: Seong Woo
authors.initials: SW
authors.lastname: Han
authors.forename: Sang Man
authors.initials: SM
authors.lastname: Jung
authors.forename: Jun Suk
authors.initials: JS
authors.lastname: Kim
authors.forename: Hyun Keun
authors.initials: HK
authors.lastname: Chee
authors.forename: Kyu Hyung
authors.initials: KH
authors.lastname: Ryu
mesh_terms: D003323:Coronary Aneurysm / Q000209:etiology* / Q000601:surgery; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000473:pathology; D004108:Dilatation, Pathologic; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D020123:Sirolimus / Q000008:administration & dosage
chemical_list: D007166:Immunosuppressive Agents; D020123:Sirolimus