Multiple giant coronary arterial aneurysms following sirolimus drug eluting stents implantation

Insights

Coronary artery aneurysms are a rare complication following coronary interventions, more frequent with drug-eluting stents. Management strategies for these aneurysms depend on their type and the patient's condition.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Coronary artery aneurysms (CAAs) are uncommon sequelae of coronary interventions, occurring in 0.2%-1.7% of cases.
  • CAAs are observed more frequently after procedures involving drug-eluting stents (DES) compared to bare metal stents (BMS).
  • These aneurysms present a variable clinicopathological entity, often discovered incidentally or during routine follow-up angiography.