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Ital Heart J. 2002 Mar;3(3):202-5.

Coronary artery aneurysm after stent implantation: acute and long-term results after percutaneous treatment with a stent graft.

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Divisione di Cardiologia Ospedale San Martino Largo Rosanna Benzi, 10 16132 Genova.


A patient with unstable angina was treated with elective Palmaz-Schatz stent implantation on a focal stenosis of the left circumflex artery. One year later, a large (13 mm in diameter) coronary artery aneurysm was diagnosed at angiography in the stented site. Intravascular ultrasound examination confirmed the presence of a true aneurysm located at the proximal end of the stent. The aneurysm was successfully treated with a Jostent Graft (Jomed Implantate) consisting of two slotted tube stainless steel stents supporting a polytetrafluoroethylene tube. The stent graft was implanted under intravascular ultrasound guidance. The 18-month angiographic follow-up showed good patency of the stent graft and complete exclusion of the aneurysm.

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