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

Kwon, Tae J.; Hwang, Jin Yong; Kwak, Choong Hwan; Jeong, Young‐Hoon; Park, Yong Whi; Hwang, Seok-Jae; Park, Jeong Rang; Ahn, Jae Young; Min, Ji Yun

doi:10.4070/kcj.2012.42.8.558

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Kwon et al [11] described a case in which an acute stent thrombosis (patient taking dual antiplatelet therapy) was a consequence of aneurysm thrombosis involved in a lesion treated with a DES. The authors observed a hematoma in the arterial wall.…”

Section: Discussionmentioning

confidence: 99%

Very Early Coronary Artery Aneurysm After Primary Percutaneous Coronary Intervention in Patient With HIV and Thrombophilia

Oliveira

Miranda

et al. 2019

Cardiol Res

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The incidence of coronary artery aneurysms ranges from 0.2% to 10.5%. Aneurysms have been described after percutaneous coronary interventions (PCIs) and hypersensitivity to polymers, nickel, cobalt, inflammatory reaction rich in eosinophils, drug released by the stent, fracture and malapposition of the stent, stent endothelialization delay, high pressures used in the procedures, oversizing of balloons and stents, unhealed dissections, atheroablative techniques, and trauma of the arterial wall are related to appearance of coronary artery aneurysms. In this case report, we described a patient with human immunodeficiency virus and thrombophilia who underwent primary PCI and at the end of the procedure had thrombi in the coronary artery. It was decided by triple therapy and new angiographic study 2 days later. This new angiography revealed thrombi resolution but the appearance of an aneurysm in the middle portion of the drug-eluting stent. The anticoagulant was stopped and we performed watchful waiting strategy with new serial angiograms that revealed progressive reduction and disappearance of the aneurysm. Subsequently triple therapy with warfarin, aspirin and clopidogrel was restarted and the patient progressed asymptomatic and performed his daily activities normally. At 6 months of clinical follow-up, we advised the patient to suspend aspirin and to continue secondary prevention of cardiovascular events.

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Section: Discussionmentioning

confidence: 99%

Very Early Coronary Artery Aneurysm After Primary Percutaneous Coronary Intervention in Patient With HIV and Thrombophilia

Oliveira

Miranda

et al. 2019

Cardiol Res

View full text Add to dashboard Cite

show abstract

“…Etiyolojik faktörlere bakıldığında en sık etken ateroskleroz olup diğer sebepler arasında Kawasaki hastalığı, otoimmün hastalıklar, travma ve enfeksiyon sayılabilir (4,5) . Girişimsel kardiyolojinin artmasıyla birlikte işlem sonrası koroner anevrizma görülme sıklığı artmıştır (6,7) . Koroner arter anevrizması bulunan birçok olgu asemptomatik olup, semptomlar arasında miyokart enfarktüsü, tamponad, süperiyor vena kava sendromu, sağ ventrikül çıkış yolunun obstrüksiyonu, kalp yetmezliği ve ani ölüm sayılabilir (8)(9)(10) .…”

Section: Discussionunclassified