Covered stent for the treatment of coronary aneurysm after sirolimus-eluting stent implantation in a patient with Takayasu's arteritis.
We report on a patient with Takayasu's arteritis with coronary artery involvement who developed late stent malapposition 2 years after drug eluting stent implantation in the left anterior descending artery. Due to progression of the aneurysm on angiographic follow up, a covered stent was deployed. Problematic aspects of percutaneous coronary interventions in these patients are discussed.
Fefer
Paul
P
Sunnybrook Health Sciences Centre, Cardiology, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada. paulfefer@gmail.com
Hogg
Duncan
D
Radhakrishnan
Sam
S
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003323:Coronary Aneurysm / Q000628:therapy*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000628:therapy; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D011859:Radiography; D020123:Sirolimus / Q000627:therapeutic use*; D013625:Takayasu Arteritis / Q000000981:diagnostic imaging / Q000628:therapy*
D007166:Immunosuppressive Agents; D020123:Sirolimus