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- Title
From Small Coronary Artery Aneurysm to Giant Left Ventricle Aneurysm.
- Authors
Sciacca, Sergio; Raffa, Giuseppe Maria; Gentile, Giovanni; Pilato, Michele
- Abstract
<bold>Objective: </bold>To underscore how challenging the treatment of a coronary artery aneurysm (CAA) can be and highlight the need for consensus guidelines based on focused registries.<bold>Clinical Presentation and Intervention: </bold>A 58-year-old man presented with acute coronary syndrome and underwent elective stent placement on a right CAA. The procedure was complicated by inferior acute myocardial infarction; 8 months later, due to remodeling toward a left ventricular aneurysm of the inferior wall, he experienced several episodes of sustained ventricular tachycardia that required urgent surgical treatment.<bold>Conclusion: </bold>The best therapeutic option for CAA is still a matter of controversy, and though the percutaneous approach can meet the technical challenges, 'heart team'-based decision-making is recommended. The case reported here showed that percutaneous treatment of CAA can be a challenging procedure, even in experienced and high-volume centers. In our patient's case, undersizing the covered stent led to further migration and to a complication that was more severe than the original disease.
- Subjects
LEFT heart ventricle diseases; CARDIAC surgery; MYOCARDIAL infarction
- Publication
Medical Principles & Practice, 2017, Vol 26, Issue 1, p87
- ISSN
1011-7571
- Publication type
journal article
- DOI
10.1159/000450646