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Successful Treatment of a Coronary Artery Aneurysm that Developed with In-Stent Restenosis after Drug-Eluting Stent Implantation

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ȲÅÂÇö(Hwang Tae-Hyeon) - ÀÎÇÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ³»°úÇб³½Ç
¹Ú»óµ·(Park Sang-Don) - ÀÎÇÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ³»°úÇб³½Ç
¹é¿ë¼ö(Baek Yong-Soo) - ÀÎÇÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ³»°úÇб³½Ç
±è¼öÇÑ(Kim Soo-Han) - ÀÎÇÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ³»°úÇб³½Ç
À̼±¿µ(Lee Sun-Young) - ÀÎÇÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ³»°úÇб³½Ç
°í±Ô¿ë(Go Gyu-Yong) - ÀÎÇÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ³»°úÇб³½Ç
¿ì¼ºÀÏ(Woo Seong-Ill) - ÀÎÇÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ³»°úÇб³½Ç

Abstract

Coronary artery aneurysms are detected rarely during coronary angiography, and are associated with injury to the mechanical vessel wall during percutaneous coronary intervention. Potential causes also include atherosclerosis, congenital defects, connective tissue disorders, vasculitis, infection, drug-related injury, and trauma; it can also be idiopathic. The complications of coronary artery aneurysms vary, but they rupture only rarely. However, there is no consensus treatment strategy for coronary artery aneurysm after coronary intervention. We report a case of a 55-year-old male who developed a coronary artery aneurysm and in-stent restenosis after percutaneous coronary intervention with a drug-eluting stent. The aneurysm was treated successfully with the implantation of a graft stent.

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Coronary artery aneurysm, Drug-eluting stent
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