Treatment of a giant coronary artery aneurysm: intravascular ultrasound and optical coherence tomography findings.
JOURNAL OF INTERVENTIONAL CARDIOLOGY(2012)
Abstract
A giant coronary aneurysm (GCA) partially thrombosed was demonstrated in a 77-year-old patient evaluated for an inferior myocardial infarction. Primary angioplasty (balloon only) with suboptimal result was initially obtained. After triple antiplatelet and anticoagulation therapy (4 days), a new angiography was performed and a fusiform GCA was clearly delineated. A second percutaneous intervention was performed using a scaffolding technique with conventional stent and subsequent implantation of 2 polytetrafluoroethylene-covered stents to successfully exclude the aneurysm. This case demonstrates a novel technique to treat long GCA. (J Interven Cardiol 2012;25:8285)
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Key words
giant coronary artery aneurysm,intravascular ultrasound
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