Percutaneous intervention of a giant native coronary artery aneurysm using self-expanding stents. - 2024

Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006

In the absence of standardized management guidelines, coronary artery aneurysms (CAAs) present therapeutic challenges. Percutaneous coronary intervention (PCI) is rarely explored, especially in giant aneurysms with persistent angina, where surgery might be presumed as a preferred option. We describe the technical aspects and feasibility of PCI using Gore Viabahn expanded polytetrafluoroethylene (ePTFE)-covered nitinol self-expanding stents in a 66-year-old woman with a complex medical history and an enlarging, symptomatic right coronary artery aneurysm. The case was complicated by endoleak after the first stent, but intravascular ultrasound guidance enabled the precise deployment of additional stents, resulting in the successful exclusion of the aneurysm. This case demonstrates steps to successful CAA PCI with Gore Viabahn ePTFE-covered nitinol self-expanding stents and emphasizes that in unsuitable surgical candidates, PCI might be a potential alternative for symptomatic CAAs. Copyright © 2024 Wiley Periodicals LLC.


English

1522-1946


IN PROCESS -- NOT YET INDEXED--Automated


MedStar Heart & Vascular Institute
MedStar Washington Hospital Center


Advanced Cardiac Catheterization Research Fellowship
Interventional Cardiology Fellowship


Case Reports
Journal Article