Gadepalli Ramesh, Rayidi Gopikrishna, Pramod Gururaj, Srivastava Shashi K, Venkata Balakrishna Sai Nyayapathi
Department of Cardiology, Yashoda Hospital, Secunderabad, Telangana, India.
Interv Med Appl Sci. 2017 Mar;9(1):47-50. doi: 10.1556/1646.9.2017.1.10.
Development of coronary artery aneurysm (CAA) after implantation of drug-eluting stent is occasionally observed. We present a case of a 67-year-old man who underwent everolimus-eluting stent (EES) implantation in right coronary artery (RCA) for inferior wall myocardial infarction, and thereafter, giant CAAs were developed in the vessel of stent deployment, within 2 months. However, the patient was managed with coronary artery bypass grafting (CABG). On follow-up, the patient's condition was stable. To the best of our knowledge, we report the first case of occurrence of EES-associated giant CAAs in RCA subsequently treated with CABG.
药物洗脱支架植入后偶尔会观察到冠状动脉瘤(CAA)的发生。我们报告一例67岁男性患者,其因下壁心肌梗死在右冠状动脉(RCA)植入依维莫司洗脱支架(EES),此后在支架置入血管内2个月内出现巨大CAA。然而,该患者接受了冠状动脉旁路移植术(CABG)治疗。随访时,患者病情稳定。据我们所知,我们报告了首例RCA中发生EES相关巨大CAA并随后接受CABG治疗的病例。