Giant Coronary Artery Pseudoaneurysm after Drug-Eluting Stent Implantation

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DOI: 10.4236/ijcm.2015.68074    3,345 Downloads   4,218 Views  Citations

ABSTRACT

Formation of coronary artery pseudoaneurysm after percutaneous coronary intervention is rarely reported. A close review of available literature indicates a trend of growing incidence in recent times. Here, we present a case of coronary pseudoaneurysm developing in the left circumflex artery within 50 days of sirolimus-eluting stent implantation in a 47-year-old man who was treated for triple-vessel coronary artery disease. Initially, the patient refused any further treatment. However, considering the rapid growth of pseudoaneurysm and increased severity of symptoms at subsequent follow-up, we decided to treat giant pseudoaneurysm with embolization coils. The procedure was successful and the patient remained asymptomatic thereafter.

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Bhupali, A. , Joshi, A. , Patil, S. , Jadhav, P. , Prasad, S. , Vora, T. , Gajiwala, N. and Thakkar, A. (2015) Giant Coronary Artery Pseudoaneurysm after Drug-Eluting Stent Implantation. International Journal of Clinical Medicine, 6, 554-560. doi: 10.4236/ijcm.2015.68074.

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