Treatment of a giant coronary artery aneurysm: intravascular ultrasound and optical coherence tomography findings
Jaime Dutary, Brian Zakhem, Camino Bañuelos DE Lucas, Manuel Paulo, Nieves Gonzalo, Fernando Alfonso, Jaime Dutary, Brian Zakhem, Camino Bañuelos DE Lucas, Manuel Paulo, Nieves Gonzalo, Fernando Alfonso
Abstract
A giant coronary aneurysm (GCA) partially thrombosed was demonstrated in a 77-year-old patient evaluated for an inferior myocardial infarction. Primary angioplasty (balloon only) with suboptimal result was initially obtained. After triple antiplatelet and anticoagulation therapy (4 days), a new angiography was performed and a fusiform GCA was clearly delineated. A second percutaneous intervention was performed using a "scaffolding technique" with conventional stent and subsequent implantation of 2 polytetrafluoroethylene-covered stents to successfully exclude the aneurysm. This case demonstrates a novel technique to treat long GCA.
©2011, Wiley Periodicals, Inc.
Source: PubMed