Obliteration of a Left Main Coronary Artery Aneurysm with a PTFE-Covered Stent

Maja Strozzi, MD, Alexander Ernst, MD, PhD, Ljiljana Banfic, MD
Maja Strozzi, MD, Alexander Ernst, MD, PhD, Ljiljana Banfic, MD
There are many reports in the literature about coronary artery aneurysms, their incidence, pathogenesis, clinical outcome and treatment.1–3 If asymptomatic, their progression, rupture or secondary embolization are unpredictable. Some aneurysms are related to previous coronary interventions.4–6 Recently, the obliteration of a coronary aneurysm using the covered intracoronary stent was reported.7–10 Case Report. A 40-year-old woman with atypical chest discomfort was referred to our institution for coronary angiography. Three weeks earlier she had been admitted to another hospital with an anterior wall infarction complicated with heart failure. The family history was negative for coronary artery disease and no risk factors of coronary atherosclerosis were present. Coronary angiogram (Figure 1A) showed a normal right coronary artery and a saccular aneurysm of the left main coronary artery (LMCA) with
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