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药物洗脱支架植入术后早期发生巨大冠状动脉瘤1例：一种不可预测的威胁。

A case of early development of giant coronary artery aneurysms after drug-eluting stents implantation: An unpredictable menace.

作者信息

Gadepalli Ramesh, Rayidi Gopikrishna, Pramod Gururaj, Srivastava Shashi K, Venkata Balakrishna Sai Nyayapathi

机构信息

Department of Cardiology, Yashoda Hospital, Secunderabad, Telangana, India.

出版信息

Interv Med Appl Sci. 2017 Mar;9(1):47-50. doi: 10.1556/1646.9.2017.1.10.

DOI:10.1556/1646.9.2017.1.10
PMID:28932496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5598122/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/19f59c38aa26/imas-09-01-47_f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/fa98efb3eaae/imas-09-01-47_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/bd9775b5ff03/imas-09-01-47_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/d52575648604/imas-09-01-47_f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/19f59c38aa26/imas-09-01-47_f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/fa98efb3eaae/imas-09-01-47_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/bd9775b5ff03/imas-09-01-47_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/d52575648604/imas-09-01-47_f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c8/5598122/19f59c38aa26/imas-09-01-47_f004.jpg

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