Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지
DOI QR코드

DOI QR Code

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

  • Kwon, Tae-Jung (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Hwang, Jin-Yong (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Kwak, Choong-Hwan (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Jeong, Young-Hoon (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Park, Yong-Whi (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Hwang, Seok-Jae (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Park, Jeong-Rang (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Ahn, Jong-Hwa (Department of Internal Medicine, Gyeongsang National University Hospital) ;
  • Min, Ji-Hyun (Department of Internal Medicine, Gyeongsang National University Hospital)
  • Published : 2012.08.31
⟨ Previous Next ⟩

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.

Keywords

References

  1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis 1997;40:77-84. https://doi.org/10.1016/S0033-0620(97)80024-2
  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;107:1532-5.
  3. Cohen P, O'Gara PT. Coronary artery aneurysms: a review of the natural history, pathophysiology, and management. Cardiol Rev 2008;16: 301-4. https://doi.org/10.1097/CRD.0b013e3181852659
  4. Hayat SA, Ghani S, More RS. Treatment of ruptured coronary aneurysm with a novel covered stent. Catheter Cardiovasc Interv 2009;74:367-70.
  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;22:317-21. https://doi.org/10.1016/S0003-4975(10)64961-2
  6. Kim HG, Jeong MH, Kim W, et al. Successful stent grafting for a coronary aneurysm. Korean Circ J 2004;34:507-11. https://doi.org/10.4070/kcj.2004.34.5.507
  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;45:331-6. https://doi.org/10.1536/jhj.45.331
  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;52:924-7.
  9. Nitschke T, Sprengel U, Heuer H, Botsios S, Walterbusch G. Pericardial tamponade in rupture of a right coronary artery aneurysm. Z Kardiol 2002;91:187-90. https://doi.org/10.1007/s003920200010
  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;60:112-8. https://doi.org/10.1111/j.1440-1827.2009.02484.x
  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;73:1759-61. https://doi.org/10.1253/circj.CJ-08-0543