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

Year 2019, , 57 - 59, 15.03.2019

Emre Özdemir

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.

Keywords

bare metal stent, coronary aneurysm, coronary stent, percutaneous coronary intervention

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

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.

Keywords

çıplak metal stent, koroner anevrizma, koroner stent, perkütan koroner girişim

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