Yatsynovich Yan, Valencia Damian, Schwartz Brian P, Wadiwala Nicky, Ali Mohammed
Kettering Medical Center, Dayton, Ohio, USA.
Int J Cardiovasc Imaging. 2019 Feb;35(2):237-238. doi: 10.1007/s10554-019-01550-8. Epub 2019 Mar 5.
With exponential rise in percutaneous treatments of coronary disease in the last two decades, pseudoaneurysms of coronary vessels have been described, often as a consequence of previous coronary interventions. Nevertheless, pseudoaneurysms are still rarely encountered in clinical practice (0.3-6%) and pose a great challenge when it comes to management of this clinical entity. Our case not only highlights the rarity of pseudoaneurysms but also educates clinicians through these imaging series about the existence of successful percutaneous therapeutic approaches in such patient population, such as covered stent grafts as portrayed in this case. To our knowledge, this is the first case of a covered stent graft use in coronary pseudoaneurysm unrelated to previous coronary intervention.
在过去二十年中，随着冠心病经皮治疗的呈指数级增长，冠状动脉假性动脉瘤已被描述，通常是先前冠状动脉介入治疗的结果。然而，假性动脉瘤在临床实践中仍然很少见（0.3%-6%），并且在处理这种临床情况时带来了巨大挑战。我们的病例不仅凸显了假性动脉瘤的罕见性，还通过这些影像系列向临床医生介绍了在这类患者群体中成功的经皮治疗方法的存在，比如本病例中所展示的覆膜支架移植物。据我们所知，这是首例将覆膜支架移植物用于与先前冠状动脉介入治疗无关的冠状动脉假性动脉瘤的病例。
