TITLE:
Giant Coronary Artery Pseudoaneurysm after Drug-Eluting Stent Implantation
AUTHORS:
Ashok Bhupali, Amit Joshi, Sachin Patil, Prithiviraj Jadhav, Sayi Prasad, Tanmay Vora, Nirlep Gajiwala, Ashok Thakkar
KEYWORDS:
Coronary Aneurysm, Drug-Eluting Stent, Embolization Coil, Interventional Cardiology, Pseudoaneurysm, Sirolimus
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.6 No.8,
August
13,
2015
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.