Consecutively Developed Late Stent Malappositions Following The Implantation Of Two Different Kinds Of Drug-eluting Stents Associated With Spontaneous Healing
Lee, S. H., Chae, J. K., & Ko, J. K. (2009). Consecutively developed late stent malappositions following the implantation of two different kinds of drug-eluting stents associated with spontaneous healing. International journal of cardiology, 134(1), e7–e10. https://doi.org/10.1016/j.ijcard.2008.01.002
View Original Source →Abstract
We describe here a 63-year-old woman, who consecutively developed a stent-related coronary aneurysm of left circumflex artery, which was associated with spontaneous healing, and sequential late stent malapposition of left anterior descending artery following the implantation of two different kinds of drug-eluting stents, respectively. She did not experience any cardiac events for thirty eight months.
Case Details
Disease Location
Heart
Personal Characteristics
63 years old woman, history of coronary artery disease and dyslipidemia
Clinical Characteristics
Patient admitted due to newly developed angina. Diffuse subtotal occlusion of proximal left anterior descending artery with thrombolysis in myocardial infarction. Stent-related coronary aneurysm of left circumflex artery.
Remission Characteristics
After 32 months-follow up, aneurysm was filled with echogenic material
Treatment & Mechanisms
Proposed Remission Mechanisms
Local vascular hypersensitivity reaction to nonabsorbable polymer rather than to eluted drugs
Clinical Treatment
Sirolimus-eluting stent implanted at proximal lad with high pressure balloon dilation. Triple antiplatelet agents , aspirin, clopidogrel and cilostazol.