Percutaneous Treatment of Long Coronary Aneurysms

Shah, Sanjay; Patel, Tejas; Patel, Gaurav; Pancholy, Samir

doi:10.1016/j.jaccas.2019.10.004

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Although increasingly more CAAs are being successfully treated by percutaneous coronary intervention (PCI), surgical correction is still preferred for the treatment of giant CAAs. 12,13 Potter et al 14 described a patient with a giant CAA who developed ST-elevation MI as a consequence of thrombosis. The patient had a distal stenosis and underwent emergency PCI.…”

Section: Discussionmentioning

confidence: 99%

Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review

Jiang

Zhang

et al. 2021

J Int Med Res

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Acute coronary syndrome in the young population is infrequently seen and has a different etiology from that in the elderly population. Giant coronary artery aneurysms are rare and usually asymptomatic, but they can cause acute clinical symptoms such as chest pain or chest tightness. We herein describe a young woman with a history of mitral valve prolapse who developed sudden-onset chest pain. She had mild elevations of her creatine kinase and cardiac troponin levels; however, no ST segment alteration was found on an electrocardiogram, and no abnormal regional wall movement was noted on echocardiography. Cardiac magnetic resonance imaging with late gadolinium enhancement revealed a “mass” at the right coronary artery and linear subendocardial enhancement at the posterior wall. Coronary angiography later confirmed a giant coronary aneurysm with a substantial thrombus. The combined presence of the coronary artery aneurysm and mitral valve prolapse in this patient was likely a sequela of Kawasaki disease.

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Section: Discussionmentioning

confidence: 99%

Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review

Jiang

Zhang

et al. 2021

J Int Med Res

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“…In the case of acute stent dislodgement or incomplete aneurysm exclusion, another stent graft should be deployed, or a drug-eluting stent should be used to provide a scaffolding for another covered device if in repeat angiography the aneurysm is still incompletely sealed off. The implantation of a long conventional coronary stent or stents to support the subsequent deployment and stabilization of covered stents has also been proposed [25][26][27][28].…”

Section: Pitfalls Of Coronary Aneurysm Sizingmentioning

confidence: 99%

Covered Stent Herniation into Coronary Aneurysm Sac—A Case-Inspired Review of Neurointerventional Realignment Techniques

Klaudel,

Radowski,

Trenkner

et al. 2023

JVD

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Background: Coronary aneurysms are an infrequent finding in diagnostic angiography, with a reported incidence of 0.35–0.7% in the largest contemporary registries. At least half of them have an atherosclerotic etiology and as such they are often diagnosed in the setting of acute coronary syndrome. The wiring of a thrombosed aneurysm is a difficult task and after successful recanalization, the operator has to decide on the optimal method of aneurysm exclusion. Covered stents are commonly deployed, but their use involves the risk of delivery failure as well as device dislodgement and loss due to their stiffness and size. Moreover, proper stent sizing and apposition is difficult in the case of thrombosed aneurysms. Case presentation: We present a case of coronary aneurysm recanalization and exclusion with a covered stent, with a postdilation-induced stent foreshortening. Due to the subsequent stent migration into the aneurysm sac, its repositioning was attempted. The pitfalls of coronary aneurysm stenting and neurointerventional techniques of prolapsed device realignment are discussed. Conclusions: An adequate landing zone is of the utmost importance in aneurysm exclusion with covered stents. In the case of a short stent anchoring in the normal vessel, another covered or conventional stent should be deployed to mitigate the risk of the device migration.

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Giant coronary aneurysm and acute myocardial infarction: clinical case report and literature review

Pala,

Tocci,

Bruno

et al. 2024

Clin Res Cardiol

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Percutaneous Treatment of Long Coronary Aneurysms

Cited by 3 publications

References 4 publications

Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review

Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review

Covered Stent Herniation into Coronary Aneurysm Sac—A Case-Inspired Review of Neurointerventional Realignment Techniques

Giant coronary aneurysm and acute myocardial infarction: clinical case report and literature review

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