- Author:
Seung Yul LEE
1
;
Eui IM
;
Woo In YANG
;
Jung Sun KIM
;
Yun Hyeong CHO
;
Won Heum SHIM
Author Information
- Publication Type:Case Report
- Keywords: Stents; Complications; Fracture; Aneurysm
- MeSH: Aneurysm; Anterior Wall Myocardial Infarction; Coronary Vessels; Humans; Magnetic Resonance Spectroscopy; Myocardial Ischemia; Myocardium; Stents; Stress, Mechanical; Thrombosis
- From:Korean Circulation Journal 2008;38(1):69-71
- CountryRepublic of Korea
- Language:English
- 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.