Abstract
A 73-year-old man with 2-vessel coronary artery disease underwent a staged percutaneous coronary intervention that resulted in rupture of the right coronary artery and pseudoaneurysm formation. Although the pseudoaneurysm regressed over a week, it reexpanded after a year. Resection of the pseudoaneurysm and coronary artery bypass grafting were performed. The drug-eluting stent at the coronary artery injury site may have delayed healing and remodeling of the artery, thus contributing to reexpansion of the pseudoaneurysm.
Keywords:
Aneurysm; angioplasty; balloon; coronary; coronary aneurysm; drug-eluting stents; false; paclitaxel.
MeSH terms
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Aged
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Aneurysm, False / diagnosis
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Aneurysm, False / etiology*
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Aneurysm, False / surgery
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Angioplasty, Balloon, Coronary / adverse effects*
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Angioplasty, Balloon, Coronary / instrumentation*
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Coronary Aneurysm / diagnosis
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Coronary Aneurysm / etiology*
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Coronary Aneurysm / surgery
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Coronary Angiography / methods
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Coronary Artery Bypass
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Coronary Artery Disease / diagnosis
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Coronary Artery Disease / therapy*
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Disease Progression
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Drug-Eluting Stents*
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Humans
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Male
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Time Factors
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular System Injuries / diagnosis
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Vascular System Injuries / etiology*
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Vascular System Injuries / surgery