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Korean Circ J. 2011 Sep;41(9):559-562. English. Case Report.
Cho Y , Choe H , Kang BR , Park MY , Doh JH , Kwak JJ , Yoon BY , Namgung J , Lee SY , Hur G .
Department of Internal Medicine, Vision 21 Cardiac and Vascular Center, Ilsan Paik Hospital, Goyang, Korea.
Department of Rheumatology, Ilsan Paik Hospital, Goyang, Korea.
Department of Radiology, Ilsan Paik Hospital, Goyang, Korea.

A coronary aneurysm (CA) can occur in sirolimus-eluting stent (SES)-implanted coronary lesions. Although several possible mechanisms have been suggested, the precise pathogenesis of a CA in SES-implanted lesions is still unknown. We report a patient with Churg-Strauss syndrome who underwent successful percutaneous coronary intervention with SES and then experienced a CA in an SES-implanted coronary lesion. We describe the CA characteristics through the use of coronary angiography, coronary 64-multidetector computed tomography, and intravascular ultrasound and discuss the etiological factors for the CA in this patient.

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