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Surgical repair of coronary artery aneurysm after percutaneous coronary intervention

H Yamaguchi1, H Yamauchi, T Yamada

  • 1Department of Cardiovascular Surgery, Oita Prefectural Hospital, Oita-city, Japan.

Japanese Circulation Journal
|January 12, 2001
PubMed

Insights

Surgical repair and revascularization effectively treated coronary artery aneurysms after percutaneous coronary intervention, resolving restenosis and preventing myocardial infarction.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Percutaneous coronary intervention (PCI) can lead to coronary artery aneurysms.
  • These aneurysms may present with restenosis or new lesions, necessitating further intervention.

Observation:

  • Two cases of expanding saccular coronary artery aneurysms post-PCI are presented.
  • Intraoperative angioscopy aided in aneurysm identification, though direct visualization was limited.
  • Fragile thrombi were found within the aneurysms, posing a risk for myocardial infarction.

Findings:

  • Surgical repair, including aneurysm plication or ligation with distal bypass grafting, was successfully performed.
  • Postoperative angiography confirmed aneurysm resolution and graft patency in both patients.
  • The procedures led to an uneventful recovery for both individuals.

Implications:

  • Surgical intervention is a viable option for managing complex coronary artery aneurysms post-PCI.
  • Early detection and treatment of these aneurysms can prevent serious complications like myocardial infarction.
  • This approach highlights the importance of comprehensive management strategies for PCI complications.

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