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Treatment of a coronary artery aneurysm with a novel stent
T M Kolettis1, Z S Kyriakides, D T Kremastinos
1Second Department of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.
Insights
Atherosclerotic coronary artery disease can cause large aneurysms, leading to recurrent heart attacks. A novel stenting technique using a graft-covered device successfully treated a right coronary artery aneurysm, preventing further myocardial infarctions.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Atherosclerotic coronary artery disease is a leading cause of cardiovascular morbidity.
- Coronary artery aneurysms, particularly those secondary to atherosclerosis, can present with severe complications such as myocardial infarction.
- Optimal medical management may not always prevent adverse events in complex coronary artery aneurysms.
Abstract:
We report a case of a prominent aneurysm of the right coronary artery secondary to atherosclerotic coronary artery disease. The aneurysm was complicated by recurrent myocardial infarction despite optimal medical treatment. It was successfully treated with coronary artery stenting, using a novel device, consisting two stents with a layer of expandable graft material placed between them. Follow-up angiography 6 months after the procedure showed a sustained excellent result.