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Development of a Coronary Aneurysm at a Sirolimus-Eluting Stent-Implanted Lesion in a Patient With Churg-Strauss Syndrome

  • Cho, Yu-Jung (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital) ;
  • Choe, Hyun-Min (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital) ;
  • Kang, Bo-Ram (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital) ;
  • Park, Min-Yong (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital) ;
  • Doh, Joon-Hyung (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital) ;
  • Kwak, Jae-Jin (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital) ;
  • Yoon, Bo-Young (Department of Rheumatology, Ilsan Paik Hospital) ;
  • NamGung, June (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital) ;
  • Lee, Sung-Yun (Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital) ;
  • Hur, Gam (Department of Radiology, Ilsan Paik Hospital)
  • Published : 2011.09.30

Abstract

A coronary aneurysm (CA) can occur in sirolimus-eluting stent (SES)-implanted coronary lesions. Although several possible mechanisms have been suggested, the precise pathogenesis of a CA in SES-implanted lesions is still unknown. We report a patient with Churg-Strauss syndrome who underwent successful percutaneous coronary intervention with SES and then experienced a CA in an SES-implanted coronary lesion. We describe the CA characteristics through the use of coronary angiography, coronary 64-multidetector computed tomography, and intravascular ultrasound and discuss the etiological factors for the CA in this patient.

Keywords

References

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