Korean Circ J.  2008 Jan;38(1):69-71. 10.4070/kcj.2008.38.1.69.

A Sirolimus: Eluting Stent Fracture Combined with a Coronary Artery Aneurysm

• Lee SY
• Im E
• Yang WI
• Kim JS
• Cho YH
• Shim WH

• KMID: 2225877
• DOI: http://doi.org/10.4070/kcj.2008.38.1.69

Abstract

A stent fracture combined with a coronary artery aneurysm is a rare event. As these events can lead to a harmful outcome, such as the development of myocardial ischemia by in-stent restenosis or thrombosis, repeated coronary intervention may be required. We report a case of a stent fracture combined with a coronary artery aneurysm. The fracture was thought to have developed by mechanical stress produced from a change of regional wall motion after an anteroseptal myocardial infarction. As detected by the use of intravascular ultrasound, neither in-stent restenosis nor a thrombus in the fractured stent was present. A cardiac magnetic resonance image showed that no viable myocardium in the anteroseptal wall was present. Therefore, the patient underwent medical treatment without intervention of the fractured stent.

Keyword

Stents; Complications; Fracture; Aneurysm

MeSH Terms

Aneurysm
Anterior Wall Myocardial Infarction
Coronary Vessels
Humans
Magnetic Resonance Spectroscopy
Myocardial Ischemia
Myocardium
Stents
Stress, Mechanical
Thrombosis