A new device to seal large coronary aneurysms: a case report
نویسندگان
چکیده
INTRODUCTION Coronary artery aneurysm is an uncommon disease. It is defined as a coronary artery dilatation, exceeding the diameter of the normal adjacent segment or the diameter of the patient's largest coronary vessel by 1.5 to 2 times. Coronary artery aneurysms are typically diagnosed by coronary angiography. The prognosis of coronary artery aneurysm is not well known and the management is challenging. CASE PRESENTATION A 68-year-old Italian-Caucasian man presented to our hospital with angina. Coronary angiography revealed a large coronary aneurysm of the right coronary artery, which was successfully treated by the percutaneous implantation of an MGuardTM stent. CONCLUSION This case report provides evidence that coronary artery aneurysms, even if very large, can be safely treated by MGuardTM stent implantation. We strongly emphasize the high flexibility and good deliverability of this device, which leads to the complete exclusion of the aneurysm mediated by the process of endothelization of its thin mesh sleeves.
منابع مشابه
A case of multiple coronary artery aneurysms: Successful revascularization
Introduction: Multiple coronary artery aneurysm is a rare anomaly which could be congenital or acquired. Its complications including sudden cardiac death, clot and distal emboli, rupture and bleeding or fistula. Decision about its management depends on aneurysm conditions and the Patient's clinical situation Case Report: A 55 years old patient with unstable angina and multiple coronary ar...
متن کاملA Rare Case of Giant Coronary Aneurysm in a 5- Year- Old Child
Coronary aneurysms are typically seen in association with Kawasaki disease and only in rare instances, they are reported to be congenital or idiopathic. Here we report a case of a five year old boy who was found to have an idiopathic right coronary artery aneurysm. He presented with complaints of recurrent respiratory tract infections. His examination and investigations did not reveal any of th...
متن کاملEpisodes of Massive Upper Gastrointestinal Bleeding Due to Dieulafoy’s Lesion in A 75-Year-Old Man: A Case Report
Aneurysms of gastric vessels (Dieulafoy`s disease, caliber-persistent artery) are thought to be of malformative rather than degenerative origin. They are usually single, located in the submucosa, usually on the lesser curvature, and characterized by a large tortuous vessel surmounted by a small defect...
متن کاملManagement of a large coronary artery aneurysm with graft-coated stent during the acute phase of myocardial infarction
Coronary aneurysms in adults are rare clinical entities. Herein, we presented a 54-year-old man who was admitted with an acute extensive anterior myocardial infarction. The emergency coronary angiography revealed an isolated large aneurysm at the proximal segment of the left anterior descending coronary artery. The patient was successfully treated with a graft-coated stent
متن کاملVascular scaffolding to seal giant aneurysms: a new technique.
Spontaneous rupture, fistula formation, thrombosis, distal embolisation and myocardial ischaemia are potential complications of coronary and vascular aneurysms. Several surgical techniques have been described to treat these aneurysms: ligation of the aneurysm, resection with end-to-end anastomosis, and vascular or coronary bypass grafting. Indications to treat coronary aneurysms remain unclear,...
متن کامل