Korean J Med.  2014 May;86(5):608-611.

Successful Treatment of a Coronary Artery Aneurysm that Developed with In-Stent Restenosis after Drug-Eluting Stent Implantation

• Hwang TH
• Park SD
• Baek YS
• Kim SH
• Lee SY
• Go GY
• Woo SI

Abstract

Coronary artery aneurysms are detected rarely during coronary angiography, and are associated with injury to the mechanical vessel wall during percutaneous coronary intervention. Potential causes also include atherosclerosis, congenital defects, connective tissue disorders, vasculitis, infection, drug-related injury, and trauma; it can also be idiopathic. The complications of coronary artery aneurysms vary, but they rupture only rarely. However, there is no consensus treatment strategy for coronary artery aneurysm after coronary intervention. We report a case of a 55-year-old male who developed a coronary artery aneurysm and in-stent restenosis after percutaneous coronary intervention with a drug-eluting stent. The aneurysm was treated successfully with the implantation of a graft stent.

Keyword

Coronary artery aneurysm; Drug-eluting stent

MeSH Terms

Aneurysm*
Atherosclerosis
Congenital Abnormalities
Connective Tissue
Consensus
Coronary Angiography
Coronary Vessels*
Drug-Eluting Stents*
Humans
Male
Middle Aged
Percutaneous Coronary Intervention
Rupture
Stents
Transplants
Vasculitis