1988
DOI: 10.1055/s-2007-1020042 View full text |Buy / Rent full text
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Abstract: Two patients who developed coronary aneurysm at the site of Percutaneous Transluminal Coronary Angioplasty (PTCA) in proximal LAD accompanied by severe re-stenosis just proximal to the aneurysm are described. Both patients underwent Coronary Arterial Bypass Grafting (CABG) to distal LAD to stop anginal attacks refractory to any anti-anginal drugs and to prevent a rupture of a coronary aneurysm. After the operation the anginal attacks disappeared and no trace of coronary aneurysm was visible in the coronary ang… Show more

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“…1). True coronary aneurysms of all causes appear to be benign and thus most are left untreated [39,41,42,[45][46][47][48][49]53,54,89,96,97]. However, a few cases of sudden cardiac death due to rupture of a coronary aneurysm were reported [3,41,51,98].…”
Section: Recommendations For Therapy In Suspected Coronary Artery Permentioning
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“…1). True coronary aneurysms of all causes appear to be benign and thus most are left untreated [39,41,42,[45][46][47][48][49]53,54,89,96,97]. However, a few cases of sudden cardiac death due to rupture of a coronary aneurysm were reported [3,41,51,98].…”
Section: Recommendations For Therapy In Suspected Coronary Artery Permentioning
“…In some cases the patients underwent cardiac surgery and resection of the pseudoaneurysm [45,47,49,57,[86][87][88]. Other patients have been seen at follow-up consultations without surgery up to 3 years without any aneurysm-related complications [16,[45][46][47]87,[89][90][91].…”
Section: Therapy Of Coronary Pseudoaneurysmmentioning
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“…In the CASS, no additional prognostic impact of aneurysmal disease could be demonstrated [ 1,21, when comparing patients with aneurysmal disease and otherwise similar patients without aneurysmal disease. However, little is known about the prognosis of coronary aneurysms induced by percutaneous transluminal coronary angioplasty (PTCA) [3,4]. It is the purpose of this study to evaluate the prognosis of such aneurysm formation and to establish factors that may predict their occurrence.…”
Section: Introductionmentioning
“…This complication usually results in pericardial hemorrhage and cardiac tamponade acutely, or in coronary artery fistula formation to either the right or left ventricle if an intramyocardial segment of vessel is perforated [3,4]. Pseudoaneurysm formation is a novel and rare complication of perforation [ 5 ] . Whereas massively expanding pseudoaneurysms require surgical intervention, there is little known about the optimal treatment of small-to-moderate-sized coronary pseudoaneurysms resulting from coronary artery perforation [6].…”
Section: Introductionmentioning