title: Histologic analysis of a covered stent implanted for pseudoaneurysm in a coronary artery.
abstract: Covered stents are the standard of care when coronary perforations complicate percutaneous coronary interventions and have also been utilized in the treatment of coronary aneurysms. We present the clinical and histologic features of a patient who developed a coronary perforation and pseudoaneurysm 4 years following deployment of intracoronary stents. Although the covered stent successfully sealed the perforation, subsequent thrombosis led to a fatal acute myocardial infarction.
authors.affiliation: Department of Pathology, University of Alabama at Birmingham, Birmingham, AL 35294-0019, USA.
authors.forename: Evan A
authors.initials: EA
authors.lastname: Alston
authors.forename: Brigitta C
authors.initials: BC
authors.lastname: Brott
authors.forename: Vijay K
authors.initials: VK
authors.lastname: Misra
authors.forename: Constantine L
authors.initials: CL
authors.lastname: Athanasuleas
authors.forename: Peter G
authors.initials: PG
authors.lastname: Anderson
authors.forename: Silvio H
authors.initials: SH
authors.lastname: Litovsky
mesh_terms: D017541:Aneurysm, False / Q000473:pathology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D003324:Coronary Artery Disease / Q000473:pathology* / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D015607:Stents / Q000009:adverse effects*