Successful management of late coronary aneurysm after bare metal stent implantation: An insidious threat

Development of coronary arterial aneurysm (CAA) is a rare complication after stent implantation, and even more uncommon after bare metal stents (BMS) compared with drug eluting stents. The case is here presented of a 55-year-old male with in-stent CAA, which developed 9 months after BMS implantation. The patient was treated with percutaneous re-implantation of BMS and at the clinical follow-up examination, 10 months after this treatment, there were no problems on the coronary angiography and the patient had no complaints. The treatment strategy is not clear for CAAs, so it must be decided after consultation between the cardiologist and cardiac surgeon. BMS re-implantation can be a successful treatment.

Çıplak metal stent implantasyonu sonrası geç koroner arter anevrizmasının başarılı yönetimi: Bir sinsi bir düşman

Koroner arter anevrizmaları (KAA) gelişimi, stent implantasyonu sonrası nadir görülen bir komplikasyondur, özellikle de ilaç salınımlı stentlerle karşılaştırıldığında çıplak metal stentlerden (ÇMS) sonra çok nadir görülür. 55 yaşında bir hastanın ÇMS implantasyonundan 9 aylık bir süre sonra gelişen in-stent KAA ait bir vaka sunulmuştur. Bu KAA perkütan olarak tedavi edilmiş olup, bu tedaviden 10 ay sonra yapılan kontrol koroner anjiyografi ve klinik takiplerde her hangi bir sorun ya da şikayet kalmadığı görülmüştür. KAA için tedavi yöntemi net değildir; bu nedenle kardiyolog ve kalp cerrahı arasındaki konsültasyondan sonra kararlaştırılmalıdır. ÇMS’in yeniden implantasyonu başarılı bir tedavi yöntemi olabilir.

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