Patel Chintan P, Coon Alexander L
Interventional Cardiology-Atria Heart in Collaboration with Honor Health, Scottsdale, Arizona.
Department of Neurosciences, Carondelet Neurological Institute, St. Joseph's Hospital, Tucson, Arizona.
J Soc Cardiovasc Angiogr Interv. 2024 Mar 6;3(4):101232. doi: 10.1016/j.jscai.2023.101232. eCollection 2024 Apr.
A 58-year-old man presenting with angina was found to have a large coronary aneurysm on angiography. After coronary bypass and multiple ST-elevation myocardial infarctions over the following months, the decision was made to exclude the aneurysm with a flow-diverting stent, which reduced flow to the aneurysm and left the patient asymptomatic since the procedure. This is the first reported use of a cerebral flow-diverting stent for treatment of a coronary aneurysm.
一名58岁的男性因心绞痛就诊,血管造影显示有一个巨大的冠状动脉瘤。在接下来的几个月里,患者接受了冠状动脉搭桥手术并多次发生ST段抬高型心肌梗死,随后决定使用分流支架封堵动脉瘤,该操作减少了流向动脉瘤的血流,术后患者一直无症状。这是首次报道使用脑血流分流支架治疗冠状动脉瘤。