Coronary Aneurysms After Magnesium Resorbable Vascular Scaffolds: "The Dissolving Scaffold Follows the Vessel Wall"

Coronary artery aneurysms (CAA) may occur following virtually any coronary intervention. We present a patient developing a CAA after magnesium resorbable vascular scaffold (MRS) implantation in the left circumflex coronary artery 1 year before for an acute myocardial infarction. Intravascular ultrasound and optical coherence tomography revealed striking images of the dissolving MRS struts, well apposed and following the CAA vessel wall, rather than the expected classical findings of late acquired malapposition. The implications of these unique findings are discussed.