Coronary aneurysm formation after primary coronary angioplasty.

We describe the case of a man who underwent primary angioplasty with stenting for acute myocardial infarction and subsequently developed a coronary artery aneurysm at the site of stent deployment. The aneurysm grew rapidly in size over a few weeks and required treatment with a covered stent. The use of intravascular ultrasound equipped with special software for colour blood flow imaging contributed significantly to the diagnosis as well as to the evaluation of treatment. The cause of the post-angioplasty aneurysm was probably a micro-dissection at the stent site that was not visible on conventional angiography. Given the possibility of the occurrence of aneurysms early after primary angioplasty, intravascular ultrasound can be useful for the diagnosis of possible residual intramural haemorrhage, ulcer, coronary dissection, or stent malapposition, which cannot be detected by conventional angiography.
AuthorsGeorgios P Pavlakis, Pieter R Stella
JournalHellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē (Hellenic J Cardiol) 2008 Mar-Apr Vol. 49 Issue 2 Pg. 106-10 ISSN: 1109-9666 [Print] Greece
PMID18459469 (Publication Type: Case Reports, Journal Article)
  • Angioplasty, Balloon, Coronary (adverse effects)
  • Coronary Aneurysm (diagnosis, etiology, therapy)
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction (therapy)
  • Stents

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research network!

Choose Username:
Verify Password: