IJCM  Vol.6 No.8 , August 2015
Giant Coronary Artery Pseudoaneurysm after Drug-Eluting Stent Implantation
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.
Cite this paper: 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.

[1]   Kapoor, A., Batra, A., Kumar, S., Pandey, S., Agarwal, S.K. and Sinha, N. (2011) Coronary Pseudoaneurysm in a Non-Polymer Drug-Eluting Stent: A Rare Entity. Asian Cardiovascular and Thoracic Annals, 19, 407-410.

[2]   Roy, P., Ajani, A.E. and Warren, R. (2005) Percutaneous Treatment of a Giant Coronary Aneurysm Using a Symbiot Stent. Cardiovascular Revascularization Medicine, 6, 73-74.

[3]   Chadha, D.S., Hasija, P.K., Singh, N., Ghosh, A.K. and Malani, S.K. (2014) Endovascular Management of Giant Coronary Artery Aneurysm. Medical Journal Armed Forces India, 71, S242-S244.

[4]   Imai, M., Kadota, K., Goto, T., Fujii, S., Yamamoto, H., Fuku, Y. and Mitsudo, K. (2011) Incidence, Risk Factors, and Clinical Sequelae of Angiographic Peri-Stent Contrast Staining after Sirolimus-Eluting Stent Implantation. Circulation, 123, 2382-2391.

[5]   Hajlaoui, N. (2011) PP-024: Coronary Artery Aneurysm after Drug Eluting Stent Implantation: Case Report and Review of the Literature. International Journal of Cardiology, 147, S110.

[6]   Caruso, M., Evola, S., Fattouch, K., Bracale, U.M., Incalcaterra, E., La Franca, E., et al. (2011) Chest Pain Due to Late Huge Coronary Pseudoaneurysm Following Stent Implantation. Internal Medicine, 50, 577-579.

[7]   Vaghetti, M. and Palmieri, C. (2013) A Coronary Pseudoaneurysm within a Restenotic Stent Treated by Implantation of a Pericardium-Covered Stent and Drug-Eluting Balloon. Journal of Invasive Cardiology, 25, E93-E95.

[8]   Terasawa, A., Yokoi, T. and Kondo, K. (2013) Stent-Assisted Coil Embolization of Coronary Artery Aneurysm. Journal of Invasive Cardiology, 25, E175-E177.

[9]   Win, H.K., Polsani, V., Chang, S.M. and Kleiman, N.S. (2012) Stent-Assisted Coil Embolization of a Large Fusiform Aneurysm of Proximal Anterior Descending Artery: Novel Treatment for Coronary Aneurysms. Circulation: Cardiovascular Interventions, 5, e3-e5.

[10]   Siegrist, P.T., Sumitsuji, S., Osuga, K., Sakaguchi, T., Tachibana, K. and Nanto, S. (2013) Endovascular Coil Embolization of Behcet Disease-Related Giant Aneurysm of the Right Coronary Artery after Failure of Surgical Suture. JACC: Cardiovascular Interventions, 6, e31-e32.

[11]   Crawley, P.D., Mahlow, W.J., Huntsinger, D.R., Afiniwala, S. and Wortham, D.C. (2014) Giant Coronary Artery Aneurysms: Review and Update. Texas Heart Institute Journal, 41, 603-608.

[12]   Boyer, N., Gupta, R., Schevchuck, A., Hindnavis, V., Maliske, S., Sheldon, M., et al. (2014) Coronary Artery Aneurysms in Acute Coronary Syndrome: Case Series, Review, and Proposed Management Strategy. Journal of Invasive Cardiology, 26, 283-290.

[13]   Lima, B., Varma, S.K. and Lowe, J.E. (2006) Nonsurgical Management of Left Main Coronary Artery Aneurysms: Report of 2 Cases and Review of the Literature. Texas Heart Institute Journal, 33, 376-379.