Martín-Reyes Roberto, Calvo-Orbe Luis, Moreno Raúl
Department of Cardiology, Interventional Cardiology Unit, La Paz University Hospital, Madrid, Paseo de la Castellana 261, ZP: 28046, Spain.
J Invasive Cardiol. 2011 Apr;23(4):E66-8.
Coronary atherosclerotic aneurysms (CAA) are a very uncommon finding in patients presenting with coronary artery disease. In order to prevent spontaneous vessel rupture in patients presenting with large CAA, these patients are frequently treated with the implantation of a stent-graft. However, these devices have a high rate of restenosis, which limits the clinical success of this strategy at mid-term. We present a patient with a native CAA who was treated with the implantation of a stent-graft with in-stent ad- hoc implantation of a paclitaxel-eluting stent. Coronary angiography and intravascular ultrasound demonstrated absence of restenosis and persistence of the exclusion of the aneurysm at 1-year follow-up.
冠状动脉粥样硬化性动脉瘤（CAA）在患有冠状动脉疾病的患者中是一种非常罕见的发现。为了预防患有大型CAA的患者发生血管自发性破裂，这些患者经常接受支架移植物植入治疗。然而，这些装置的再狭窄率很高，这限制了该策略在中期的临床成功率。我们报告了一名患有原发性CAA的患者，该患者接受了支架移植物植入治疗，并在支架内临时植入了紫杉醇洗脱支架。冠状动脉造影和血管内超声显示，在1年的随访中没有再狭窄，并且动脉瘤排除持续存在。
