Korean Circ J.  2012 Aug;42(8):558-561. 10.4070/kcj.2012.42.8.558.

Rupture and Spontaneous Sealing of a Coronary Aneurysm After Deployment of Drug-Eluting Stent

• Kwon TJ
• Hwang JY
• Kwak CH
• Jeong YH
• Park YW
• Hwang SJ
• Park JR
• Ahn JH
• Min JH

• KMID: 2225006
• DOI: http://doi.org/10.4070/kcj.2012.42.8.558

Abstract

Lesions with coronary artery aneurysm (CAA) can become complicated during percutaneous coronary intervention. Here, we report a case of a 78-year-old man who developed a rupture, and spontaneous sealing of the CAA occurred after stent implantation, as shown by computed tomography coronary angiography.

Keyword

Coronary aneurysm; Drug-eluting stents

MeSH Terms

Aged
Aneurysm
Congenital Abnormalities
Coronary Aneurysm
Coronary Angiography
Coronary Vessels
Drug-Eluting Stents
Ear
Humans
Percutaneous Coronary Intervention
Rupture
Stents
Congenital Abnormalities
Ear

Reference

1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis. 1997. 40:77–84.

2. Vijayanagar R, Shafii E, DeSantis M, Waters RS, Desai A. Surgical treatment of coronary aneurysms with and without rupture. J Thorac Cardiovasc Surg. 1994. 107:1532–1535.

3. Cohen P, O'Gara PT. Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiol Rev. 2008. 16:301–304.

4. Hayat SA, Ghani S, More RS. Treatment of ruptured coronary aneurysm with a novel covered stent. Catheter Cardiovasc Interv. 2009. 74:367–370.

5. Alford WC Jr, Stoney WS, Burrus GR, Frist RA, Thomas CS Jr. Recognition and operative management of patients with arteriosclerotic coronary artery aneurysms. Ann Thorac Surg. 1976. 22:317–321.

6. Kim HG, Jeong MH, Kim W, et al. Successful stent grafting for a coronary aneurysm. Korean Circ J. 2004. 34:507–511.

7. Gunduz H, Akdemir R, Binak E, Tamer A, Uyan C. Spontaneous rupture of a coronary artery aneurysm: a case report and review of the literature. Jpn Heart J. 2004. 45:331–336.

8. Koshika M, Goto S, Yamamoto K, Inoue H, Oguma F, Kasuya S. Surgical treatment of a ruptured saccular aneurysm associated with bilateral coronary arteries-pulmonary artery fistulas: a case report. Kyobu Geka. 1999. 52:924–927.

9. Nitschke T, Sprengel U, Heuer H, Botsios S, Walterbusch G. Pericardial tamponade in rupture of a right coronary artery aneurysm. Z Kardiol. 2002. 91:187–190.

10. Yokouchi Y, Oharaseki T, Ihara F, Naoe S, Sugawara S, Takahashi K. Repeated stent thrombosis after DES implantation and localized hypersensitivity to a stent implanted in the distal portion of a coronary aneurysm thought to be a sequela of Kawasaki disease: autopsy report. Pathol Int. 2010. 60:112–118.

11. Sugimoto K, Kobayashi Y, Miyahara H, Kuroda N, Funabashi N, Komuro I. Early stent thrombosis because of stent dislodgement in a coronary artery aneurysm. Circ J. 2009. 73:1759–1761.