A Case of Giant Right Coronary Artery Aneurysm after DES Implantation

Authors

  • Md Abdul Kader Akanda Department of Cardiology, Sir Salimullah Medical College and Mitford hospital, Dhaka, Bangladesh
  • Mohammad Ullah Department of Cardiology, Sir Salimullah Medical College and Mitford hospital, Dhaka, Bangladesh
  • Md Ataur Rahman Department of Cardiology, Sir Salimullah Medical College and Mitford hospital, Dhaka, Bangladesh
  • Md Sarwar Alam Department of Cardiology, Sir Salimullah Medical College and Mitford hospital, Dhaka, Bangladesh
  • Amiruzzaman Khan Department of Cardiology, Sir Salimullah Medical College and Mitford hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/cardio.v15i1.61917

Abstract

Coronary artery aneurysms (CAAs) are not very uncommon but giant coronary artery aneurysms are rare with a reported prevalence of 0.02% to 0.2%. Recently, with the advent of implantation of drugeluting stents, there are increasing reports suggesting stents causing coronary aneurysms, months or years after the procedure. Though most of the CAAs are asymptomatic, they may present with various clinical presentations like angina pectoris, fistula formation, pericardial tamponade, compression of surrounding structures, congestive cardiac failure or sudden death. The natural history and prognosis remain unclear. Despite the important anatomical abnormality of the coronary artery, the treatment options of CAAs are still poorly defined and present a therapeutic challenge. We report a case of iatrogenic giant CAA following percutaneous transluminal coronary angioplasty (PTCA) with its relevant management strategy.

Cardiovasc j 2022; 15(1): 88-94

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Published

2022-10-10

How to Cite

Akanda, M. A. K. ., Ullah, M. ., Rahman, M. A. ., Alam, M. S. ., & Khan, A. . (2022). A Case of Giant Right Coronary Artery Aneurysm after DES Implantation. Cardiovascular Journal, 15(1), 88–94. https://doi.org/10.3329/cardio.v15i1.61917

Issue

Section

Case Reports