6533b832fe1ef96bd129aea0

RESEARCH PRODUCT

Chest pain due to late huge coronary pseudoaneurysm following stent implantation

Eluisa La FrancaMarco CarusoUmberto BracaleGiuseppe AndolinaSalvatore NovoSalvatore EvolaKhalil FattouchEgle IncalcaterraGiuseppina Novo

subject

Malemedicine.medical_specialtyChest PainTime Factorsmedicine.medical_treatmentChest painCoronary AngiographyHematomaAneurysmEctasiamedicine.arteryInternal MedicinemedicineStentHumanscardiovascular diseasesMyocardial infarctionCoronary Vesselbusiness.industryStentGeneral MedicineMiddle Agedmedicine.diseaseCoronary Vesselssurgical procedures operativeRight coronary arteryConventional PCIStentsRadiologymedicine.symptombusinessAneurysm FalseHuman

description

A 50-year-old man was referred to our hospital because of persistent atypical chest pain. His past medical history was remarkable for a non ST elevation myocardial infarction, treated five months previously with PCI on the right coronary artery. Two months later, for chest pain, he underwent coronary angiography that showed a right coronary artery with slight ectasia near the stent. Five months later for the persistence of atypical chest pain he came to our clinic. Chest CT showed a 31.5 mm hematoma of the right coronary artery. Coronary angiography revealed a giant aneurysm, proximal to the stent. In the light of rapid growth of aneurysm, the risk of rupture and symptoms, we decided to treat the aneurysm with covered stents. The patient underwent successful PCI with regression of symptoms.

yearjournalcountryeditionlanguage
2011-03-23
http://hdl.handle.net/10447/118158