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CASE REPORT
Year : 2014  |  Volume : 11  |  Issue : 2  |  Page : 142-144

A case of stent aneurysm following everolimus eluting stent implantation


1 Department of Cardiology, Institute of Cardio Vascular Sciences, Kolkata, India
2 Director I.C.V.S, R. G. Kar Medical College and Hospital, Kolkata, India
3 Department of Cardiology, R. G. Kar Medical College and Hospital, Kolkata, India
4 Department of Paediatric Medicine, Chittaranjan Seva Sadan, Kolkata, India
5 Department of Medicine, College of Medicine and JNM Hospital, Kalyani, Nadia, West Bengal, India

Correspondence Address:
Tanmay Mukhopadhyay
242/3B, APC Road, Nandan Apartment, Flat C - 1, Second Floor, Kolkata - 700 004, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-7969.142128

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Coronary artery aneurysm commonly occurs secondary to atherosclerosis,but aneurysm formation after stenting is a rare phenomenon specially after drug eluting stent implantation. Drug-eluting stents (DES) elute antiproliferative drugs, can inhibit neointimal growth and may delay healing after vascular injury, and DES implantation may be associated with a risk of coronary artery aneurysm formation. Coronary aneurysms have been reported from 3 days to up to 4 years after DES implantation procedures, with varying clinical presentations. Incidence of coronary artery aneurysms after DES implantation is low within the first 9 months, with a reported incidence of 0.2% to 2.3%, a rate similar to that reported after bare-metal stent (BMS) implantation (0.3% to 3.9%). In our case,the patient is a nondiabetic ,nonhypertensive 68 year old male who underwent coronary angioplasty in the RCA with everolimus eluting stent following acute coronary syndrome.After few weeks the patient came with exertional angina and coronary angiography revealed stent aneurysm formation with new disease proximal to the stent.


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