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Percutaneous Treatment of a Giant Coronary Artery Aneurysm Using a Covered Stent With a Drug-Eluting Stent "Sandwich"
Aishwarya Umashankar1, Montasir H Ali2, Mostafa Abdelmaaboud2
1General Medicine, Swansea Bay University Health Board, Swansea, GBR.
Insights
Coronary artery aneurysms (CAAs) are rare but serious. A novel "sandwich technique" using covered and drug-eluting stents successfully treated a proximal right CAA causing acute coronary syndrome.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Coronary artery aneurysms (CAAs) present diagnostic and therapeutic challenges due to rarity and potential complications.
- Acute coronary syndrome (ACS) can arise from non-atherosclerotic causes, including CAAs.
Abstract:
Coronary artery aneurysms (CAAs) pose diagnostic and therapeutic challenges due to their rarity and potential for serious complications. We report a case of a middle-aged woman who presented with acute coronary syndrome and was found to have an isolated proximal right CAA. An anatomical assessment using intravenous ultrasound, followed by the application of the sandwich technique wherein a drug-eluting stent is used within the covered stent, was performed. This case highlights the importance of anatomical assessment, procedural planning, and evolving interventional techniques to manage non-atherosclerotic causes of acute coronary syndrome, like a CAA.
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