Chonnam Med J.  2012 Dec;48(3):185-189. 10.4068/cmj.2012.48.3.185.

Two Different Successful Angioplasty Methods in Patients with Stenotic Coronary Artery Ectasia

• Oh SK
• Rha SW
• Kook H
• Kim DH
• Ho SY
• Kim SH
• Choi CU
• Oh DJ

• KMID: 2048811
• DOI: http://doi.org/10.4068/cmj.2012.48.3.185

Abstract

There is no current guideline for percutaneous coronary angioplasty in stenotic ectatic coronary arteries because of the heterogeneity of the coronary artery morphology. We report two successful angioplasty cases in coronary artery ectasia with different clinical scenarios. One case showed atherosclerotic stenosis in the ectatic portion of the right coronary artery that was aggravated after a coronary artery bypass graft. In this case, balloon angioplasty alone without stenting showed acceptable results at the 6-month follow-up coronary angiography. In the other case, we used a peripheral artery balloon and stent for stenosis in the ectatic portion of a large coronary artery. Six-month follow-up coronary angiography showed excellent patency of the previously implanted peripheral stent.

Keyword

Angioplasty; Balloon; Coronary

MeSH Terms

Angioplasty
Angioplasty, Balloon
Arteries
Constriction, Pathologic
Coronary Angiography
Coronary Artery Bypass
Coronary Vessels
Dilatation, Pathologic
Follow-Up Studies
Humans
Population Characteristics
Stents
Transplants