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Successful management of late coronary aneurysm after bare metal stent implantation: An insidious threat

Year 2019, , 57 - 59, 15.03.2019
https://doi.org/10.25000/acem.479332

Abstract

Development of coronary arterial aneurysm (CAA) is a rare complication
after stent implantation, and even more uncommon after bare metal stents (BMS)
compared with drug eluting stents. The case is here presented of a 55-year-old
male with in-stent CAA, which developed 8 months after BMS implantation. The
patient was treated with percutaneous re-implantation of BMS and at the
clinical follow-up examination, 10 months after this treatment, there were no
problems on the coronary angiography and the patient had no complaints. The treatment
strategy is not clear for CAAs, so must be decided after consultation between the
cardiologist and cardiac surgeon. BMS re-implantation can be a successful
treatment.

References

  • 1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis. 1997;40:77-84.
  • 2. Warisawa T, Naganuma T, Tomizawa N, Fujino Y, Ishiguro H, Tahara S, et al. High prevalence of coronary artery events and non-coronary events in patients with coronary artery aneurysm in the observational group. Int J Cardiol Heart Vasc. 2016;10: 29–31 .
  • 3. Bal ET, Plokker HWT, Van de Berg EMJ, Ernst SMPG, Mast EG, Gin RMTJ, et al. Predictability and prognosis of PTCA-induced coronary artery aneurysms. Cathet Cardiovasc Diagn. 1991;22:85–8.
  • 4. Aoki J, Kirtane A, Leon MB, Dangas G. Coronary artery aneurysm after drug-eluting stent implantation. J Am Coll Cardiol Intv. 2008;1:14-21.
  • 5. Nichols L, Lagana S, Parwani A: Coronary artery aneurysm: A review and hypothesis regarding etiology. Arch Pathol Lab Med. 2008;132:823–8.
  • 6. Chrissoheris MP, Donohue TJ, Young RS, Ghantous A. Coronary artery aneurysms. Cardiology in review. 2008;16:116-23.
  • 7. Pappy R, Wayangankar S, Kalapura T, Abu-Fadel MS. Rapidly evolving coronary aneurysm in a patient with rheumatoid arthritis. Cardiol Res Pract. 2011;2011:659439.
  • 8. Cabarrus M, Yang B, Schiller N, Miller DC, Ordovas K. Iatrogenic giant coronary artery pseudoaneurysm with “daughter aneurysm” formation: serial imaging findings and natural history. J Thorac Imaging. 2012;27:185-7.
  • 9. Ahn CM, Hong BK, Kim JY, Min PK, Yoon YW, Lee BK, et al. Incidence and natural history of coronary artery aneurysm developing after drug-eluting stent implantation. Am Heart J. 2010;160:987-94.
  • 10. Nonin S, Hasegawa T, Hirai H, Suehiro S, Yoshiyama M. Gi¬ant mycotic coronary aneurysm associated with late stent infection. Eur Heart J Cardiovasc Imaging. 2014;15: 630.
  • 11. Crawley PD, Mahlow WJ, Huntsinger DR, Afiniwala S,Wortham DC. Giant coronary artery aneurysms: Review and update. Tex Heart Inst J. 2014;41:603-8 .
  • 12. Köster R, Vieluf D, Kiehn M, Sommerauer M, Kähler J, Baldus S. et al. Nickel and molybdenum contact allergies in patients with coronary in-stent restenosis. Lancet. 2010;356:1895-7.
  • 13. LaMotte LC, Mathur VS. Atherosclerotic coronary artery aneurysms: 8-year angiographic follow-up. Tex Heart Inst J. 2000;27: 72-3.
  • 14. Hada Y, Fujii H, Shimizu M, Yamawake N, Nishizaki M. Effectiveness of Bare Metal Stent Implantation for the Treatment of Coronary Artery Aneurysm: A Multimodality Imaging Evaluation. Intern Med. 2017;56:3305-9.
  • 15. Iakovou I, Dimopoulos A, Dangas G. Normal to normal: a method of treatment of coronary aneurysms with deployment of bare-metal stents. J Invasive Cardiol. 2011;23:121-5.
  • 16. Ghanta RK, Subroto Paul, Gregory SC. Successful revascularization of multiple coronary artery aneurysms using a combination of surgical strategies. Ann Thorac Surg. 2007;84:10-1.

Çıplak metal stent implantasyonu sonrası geç koroner arter anevrizmasının başarılı yönetimi: Bir sinsi tehlike

Year 2019, , 57 - 59, 15.03.2019
https://doi.org/10.25000/acem.479332

Abstract

Koroner arter anevrizmaları (KAA) gelişimi, stent implantasyonu sonrası
nadir görülen bir komplikasyondur, özellikle de ilaç salınımlı stentlerle
karşılaştırıldığında çıplak metal stentlerden (ÇMS) sonra çok nadir görülür. 55
yaşında bir hastanın BMS implantasyonundan 8 aylık bir süre sonra gelişen
in-stent KAA ait bir vaka sunulmuştur. Bu KAA perkütan olarak tedavi edilmiş
olup, bu tedaviden 10 ay sonra yapılan kontrol koroner anjiyografi ve klinik
takiplerde her hangi bir sorun ya da şikayet kalmadığı görülmüştür.

References

  • 1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis. 1997;40:77-84.
  • 2. Warisawa T, Naganuma T, Tomizawa N, Fujino Y, Ishiguro H, Tahara S, et al. High prevalence of coronary artery events and non-coronary events in patients with coronary artery aneurysm in the observational group. Int J Cardiol Heart Vasc. 2016;10: 29–31 .
  • 3. Bal ET, Plokker HWT, Van de Berg EMJ, Ernst SMPG, Mast EG, Gin RMTJ, et al. Predictability and prognosis of PTCA-induced coronary artery aneurysms. Cathet Cardiovasc Diagn. 1991;22:85–8.
  • 4. Aoki J, Kirtane A, Leon MB, Dangas G. Coronary artery aneurysm after drug-eluting stent implantation. J Am Coll Cardiol Intv. 2008;1:14-21.
  • 5. Nichols L, Lagana S, Parwani A: Coronary artery aneurysm: A review and hypothesis regarding etiology. Arch Pathol Lab Med. 2008;132:823–8.
  • 6. Chrissoheris MP, Donohue TJ, Young RS, Ghantous A. Coronary artery aneurysms. Cardiology in review. 2008;16:116-23.
  • 7. Pappy R, Wayangankar S, Kalapura T, Abu-Fadel MS. Rapidly evolving coronary aneurysm in a patient with rheumatoid arthritis. Cardiol Res Pract. 2011;2011:659439.
  • 8. Cabarrus M, Yang B, Schiller N, Miller DC, Ordovas K. Iatrogenic giant coronary artery pseudoaneurysm with “daughter aneurysm” formation: serial imaging findings and natural history. J Thorac Imaging. 2012;27:185-7.
  • 9. Ahn CM, Hong BK, Kim JY, Min PK, Yoon YW, Lee BK, et al. Incidence and natural history of coronary artery aneurysm developing after drug-eluting stent implantation. Am Heart J. 2010;160:987-94.
  • 10. Nonin S, Hasegawa T, Hirai H, Suehiro S, Yoshiyama M. Gi¬ant mycotic coronary aneurysm associated with late stent infection. Eur Heart J Cardiovasc Imaging. 2014;15: 630.
  • 11. Crawley PD, Mahlow WJ, Huntsinger DR, Afiniwala S,Wortham DC. Giant coronary artery aneurysms: Review and update. Tex Heart Inst J. 2014;41:603-8 .
  • 12. Köster R, Vieluf D, Kiehn M, Sommerauer M, Kähler J, Baldus S. et al. Nickel and molybdenum contact allergies in patients with coronary in-stent restenosis. Lancet. 2010;356:1895-7.
  • 13. LaMotte LC, Mathur VS. Atherosclerotic coronary artery aneurysms: 8-year angiographic follow-up. Tex Heart Inst J. 2000;27: 72-3.
  • 14. Hada Y, Fujii H, Shimizu M, Yamawake N, Nishizaki M. Effectiveness of Bare Metal Stent Implantation for the Treatment of Coronary Artery Aneurysm: A Multimodality Imaging Evaluation. Intern Med. 2017;56:3305-9.
  • 15. Iakovou I, Dimopoulos A, Dangas G. Normal to normal: a method of treatment of coronary aneurysms with deployment of bare-metal stents. J Invasive Cardiol. 2011;23:121-5.
  • 16. Ghanta RK, Subroto Paul, Gregory SC. Successful revascularization of multiple coronary artery aneurysms using a combination of surgical strategies. Ann Thorac Surg. 2007;84:10-1.
There are 16 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Case Report
Authors

Emre Özdemir 0000-0003-0034-3022

Publication Date March 15, 2019
Published in Issue Year 2019

Cite

Vancouver Özdemir E. Successful management of late coronary aneurysm after bare metal stent implantation: An insidious threat. Arch Clin Exp Med. 2019;4(1):57-9.