A fractured sirolimus-eluting stent with a coronary aneurysm.
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.
Kim
Sung Hea
SH
Department of Cardiology, Konkuk University School of Medicine, Seoul, Korea.
Kim
Hyun Joong
HJ
Han
Seong Woo
SW
Jung
Sang Man
SM
Kim
Jun Suk
JS
Chee
Hyun Keun
HK
Ryu
Kyu Hyung
KH
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
D007166:Immunosuppressive Agents; D020123:Sirolimus