A case of giant aneurysm following percutaneous coronary intervention

Monotosh Panja1, Soumik Basu, Saroj Mondol

  • 1Department of Cardiology, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata.

Indian Heart Journal
|March 9, 2006
PubMed

Insights

Drug-eluting stents reduce restenosis but may increase risks like aneurysm formation. This case highlights a rare giant aneurysm complication after drug-eluting stent implantation.

Area of Science:

  • Cardiovascular medicine
  • Interventional cardiology
  • Medical device technology

Background:

  • Drug-eluting stents (DES) have decreased restenosis rates after percutaneous coronary intervention.
  • However, concerns exist regarding potential increases in late stent-related adverse events.
  • Subacute thrombosis and aneurysm formation are recognized, albeit infrequent, complications.

Observation:

  • This report details a specific case of a patient who developed a giant aneurysm.
  • The aneurysm formation occurred following the implantation of a drug-eluting stent.
  • This represents a rare but significant clinical observation.

Findings:

  • The study identifies giant aneurysm formation as a potential complication associated with drug-eluting stent use.
  • This finding underscores the need for vigilance regarding stent-related adverse events.
  • The incidence and mechanisms of such aneurysms require further investigation.

Implications:

  • Clinicians should be aware of the risk of giant aneurysm formation after DES implantation.
  • Enhanced surveillance may be necessary for patients with specific risk factors or stent types.
  • Further research into the pathophysiology and management of DES-associated aneurysms is warranted.

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...