A Case of Off-Pump Coronary Artery Bypass Grafting for Coronary Aneurysm after Drug-Eluting Stent Implantation
10.4326/jjcvs.44.224
- VernacularTitle:薬剤溶出性ステント留置後冠動脈瘤に off-pump 冠動脈バイパス術を施行した1例
- Author:
Masahiro Ueno
;
Hironori Inoue
;
Keisuke Yamamoto
;
Yasuo Morishita
- Publication Type:Journal Article
- Keywords:
drug-eluting stent;
coronary aneurysm;
coronary artery bypass grafting
- From:Japanese Journal of Cardiovascular Surgery
2015;44(4):224-227
- CountryJapan
- Language:Japanese
-
Abstract:
A 77-year-old woman underwent percutaneous coronary intervention (PCI) for chronic total occlusion of the left anterior descending artery using a drug-eluting stent (DES). Re-stenosis, stent fracture, and aneurysm were found on follow-up coronary angiography (CAG), and thus implantation of multiple DESs was required. Surgery was indicated because CAG 48 months after first DES implantation revealed enlargement of the aneurysm with other new lesions. She successfully underwent off-pump coronary artery bypass grafting and resection of the aneurysm.