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Treatment of ruptured coronary aneurysm with a novel covered stent
Sajad A Hayat1, Saqib Ghani, Ranjit S More
1Blackpool Victoria Hospital, Blackpool, UK.
Insights
Coronary artery aneurysms, though rare, are increasingly diagnosed. A novel pericardium-covered stent successfully treated a ruptured coronary aneurysm in an elderly woman.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Device Innovation
Background:
- Coronary artery aneurysms (CAAs) are uncommon vascular abnormalities.
- Increasing diagnostic frequency attributed to advancements in coronary arteriography.
- Atherosclerosis is the primary cause in 50% of adult cases, with a male predilection and right coronary artery (RCA) involvement.
Observation:
- The study reports on a 76-year-old female patient presenting with a ruptured coronary aneurysm.
- This case represents a critical and rare clinical scenario.
Findings:
- The successful treatment of a ruptured coronary aneurysm using a novel flexible pericardium-covered stent is described.
- This marks the first reported use of this specific device for such a condition.
Implications:
- This innovative stent offers a potential new therapeutic option for managing complex coronary artery aneurysms.
- Highlights the importance of advanced interventional techniques in treating rare cardiovascular emergencies.
- Suggests a promising avenue for future research and clinical application in treating coronary artery pathologies.
Abstract:
Coronary artery aneurysms are relatively rare but have been diagnosed with increasing frequency since the advent of coronary arteriography. Their reported incidence varies from 1.5% to 5% with male dominance and a predilection for the right coronary artery (RCA), accounting for over 40% of all cases. The most common etiology amongst adults remains atherosclerosis accounting for 50% of coronary aneurysms. We describe the first use of a novel flexible pericardium covered stent for successful treatment of a ruptured coronary aneurysm in 76 year old lady.
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