EJCTS Click here for details of sales representative
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Eur J Cardiothorac Surg 2009;36:203-205. doi:10.1016/j.ejcts.2009.02.054
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Krishnan Ganapathy Subramaniam
Zakir Akhunji
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Subramaniam, K. G.
Right arrow Articles by Akhunji, Z.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Subramaniam, K. G.
Right arrow Articles by Akhunji, Z.
Related Collections
Right arrow Coronary disease

Case reports

Drug eluting stent induced coronary artery aneurysm repair by exclusion. Where are we headed?

Krishnan Ganapathy Subramaniam*, Zakir Akhunji

Department of Cardiothoracic Surgery, Prince of Wales Hospital, Barker Street, Randwick, NSW 2031, Australia

Received 30 October 2008; received in revised form 5 February 2009; accepted 16 February 2009.

* Corresponding author. Tel.: +61 02 93820490; fax: +61 02 93820493. (Email: ganapathysubramaniamk{at}gmail.com).

We present a case of left anterior descending (LAD) coronary artery aneurysm at the site of previous stent placement 3 years previously. The patient presented with recent worsening of angina. Angiography and 64 slice CT angiography confirmed the presence of 6 mm aneurysm of LAD at the site of previous stent involving the origin of diagonal, with thrombus proximal and distal to the stent. This patient was successfully managed by taking the posterior wall of the anterior descending artery while suturing the heel of the left internal mammary artery (LIMA)-LAD anastomosis. The idea was to create severe stenosis upstream to prevent distal embolisation from the site of aneurysm. The diagonal was grafted with a saphenous venous graft. Follow-up angiogram at 3 months demonstrated successful exclusion of the aneurysm and unobstructed flow through the grafts.

Key Words: Drug eluting stent • Coronary artery aneurysm






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.