A case of the coronary artery aneurysm including stent device after percutaneous coronary intervention

Hideaki Nohara1, Tsutomu Shida, Nobuhiko Mukohara

  • 1Department of Surgery, Hyogo Prefectural Kaibara Hospital, Hyogo, Japan.

Insights

A rare left anterior descending coronary artery aneurysm developed post-stent procedure. Surgical intervention involved stent removal, aneurysm plication, and bypass grafting, offering a potential treatment strategy for this complication.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Coronary artery aneurysms are uncommon vascular abnormalities.
  • Percutaneous coronary intervention (PCI) with stent implantation is a common treatment for coronary artery disease.
  • Post-PCI coronary artery aneurysms are a rare but serious complication.

Observation:

  • A case of left anterior descending coronary artery aneurysm is presented.
  • The aneurysm developed subsequent to PCI with stent implantation.
  • The patient required surgical intervention for the aneurysm.

Findings:

  • Surgical management included stent explantation and aneurysm plication.
  • Coronary artery bypass grafting using the left internal thoracic artery was performed.
  • This case highlights a successful surgical approach to a rare post-PCI complication.

Implications:

  • This case contributes to the limited literature on surgical treatments for PCI-induced coronary aneurysms.
  • Technical considerations for managing such complex cases are discussed.
  • Further research into preventing and managing post-PCI aneurysms is warranted.

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