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약물용출스텐트 삽입 후 스텐트내재협착과 함께 발생한 관상동맥류의 치료 1예

Successful Treatment of a Coronary Artery Aneurysm that Developed with In-Stent Restenosis after Drug-Eluting Stent Implantation

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초록

Coronary artery aneurysms are detected rarely during coronary angiography, and are associated with injury to the mechanicalvessel wall during percutaneous coronary intervention. Potential causes also include atherosclerosis, congenital defects, connectivetissue disorders, vasculitis, infection, drug-related injury, and trauma; it can also be idiopathic. The complications of coronary arteryaneurysms vary, but they rupture only rarely. However, there is no consensus treatment strategy for coronary artery aneurysm aftercoronary intervention. We report a case of a 55-year-old male who developed a coronary artery aneurysm and in-stent restenosis afterpercutaneous coronary intervention with a drug-eluting stent. The aneurysm was treated successfully with the implantation of agraft stent..

Abstract

Coronary artery aneurysms are detected rarely during coronary angiography, and are associated with injury to the mechanicalvessel wall during percutaneous coronary intervention. Potential causes also include atherosclerosis, congenital defects, connectivetissue disorders, vasculitis, infection, drug-related injury, and trauma; it can also be idiopathic. The complications of coronary arteryaneurysms vary, but they rupture only rarely. However, there is no consensus treatment strategy for coronary artery aneurysm aftercoronary intervention. We report a case of a 55-year-old male who developed a coronary artery aneurysm and in-stent restenosis afterpercutaneous coronary intervention with a drug-eluting stent. The aneurysm was treated successfully with the implantation of agraft stent..

참고문헌 (6)

  1. Cohen P, "Coronary artery aneurysms: a review of the natural history, pathophysiology, and management", Cardiol Rev, 16, pp.301~304 (2008)
  2. Alfonso F, "Coronary aneurysms after drug-eluting stent implantation: clinical, angiographic, and intravascular ultrasound findings", J Am Coll Cardiol, 53, pp.2053~2060 (2009)
  3. Slota PA, "Frequency and outcome of development of coronary artery aneurysm after intracoronary stent placement and angioplasty: STRESS Trial Investigators", Am J Cardiol, 79, pp.1104~1106 (1997)
  4. Aoki J, "Coronary artery aneurysms after drug-eluting stent implantation", JACC Cardiovasc Interv, 1, pp.14~21 (2008)
  5. Antoniadis AP, "Pathogenetic mechanisms of coronary ectasia", Int J Cardiol, 130, pp.335~343 (2008)
  6. Hakeem A, "QClinical presentation and outcomes of drug-eluting stent-associated coronary aneurysms", EuroIntervention, 7, pp.487~496 (2011)

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