Aga Khan University Hospital, Karachi, Pakistan.
Catheter Cardiovasc Interv. 2011 Mar 1;77(4):528-9. doi: 10.1002/ccd.22818.
A 22-year old male presented with acute inferior wall myocardial infarction. Coronary angiogram revealed normal left coronary arteries and a giant coronary aneurysm in right coronary artery (RCA). Primary angioplasty of RCA was performed. Large thrombus burden was retrieved with aspiration device and coronary flow restored. However, despite best efforts some thrombus remained and decision to stent was deferred to a later date. Dimensions of aneurysm on quantitative coronary angiogram were 15 mm in width and 46 mm in length. Two weeks later coronary angiogram revealed normal flow in RCA without any angiographically visible thrombus. PCI was performed with two 3.0 × 28 mm Covered stents, Graft Master (JoStent) deployed across the aneurysm, overlapping each other. This completely sealed the aneurysm and intravascular ultrasound confirmed no leakage through the covered stents. Patient remains asymptomatic 2 months post procedure on triple antiplatelet therapy.
一位 22 岁男性因急性下壁心肌梗死就诊。冠状动脉造影显示左冠状动脉正常，右冠状动脉（RCA）有巨大冠状动脉瘤。对 RCA 进行了经皮冠状动脉成形术。使用抽吸装置取出了大量血栓，恢复了冠状动脉血流。然而，尽管尽了最大努力，仍有一些血栓残留，决定推迟到以后再放置支架。定量冠状动脉造影显示动脉瘤的宽度为 15 毫米，长度为 46 毫米。两周后，冠状动脉造影显示 RCA 血流正常，无任何血管内可见血栓。使用两个 3.0×28mm 的 Covered stents（JoStent）在动脉瘤处进行 PCI，支架相互重叠。这完全封闭了动脉瘤，血管内超声证实没有通过 Covered stents 漏血。患者在三联抗血小板治疗后 2 个月无症状。
