Giant Coronary Artery Aneurysm Associated with Extraluminal Migration of Stent: Role of Multimodal Imaging
Extraluminal migration of a drug-eluting intracoronary stent into pericardial space with or without aneurysm formation is a rare complication. It is usually symptomatic although rare asymptomatic cases have been described. Herein, we report a 49-year-old male who presented with atypical chest pain 9...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-03-01
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| Series: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
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| Online Access: | https://journals.lww.com/10.4103/jiae.jiae_69_23 |
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| author | Madhu Shukla Jagdish Chander Mohan |
| author_facet | Madhu Shukla Jagdish Chander Mohan |
| author_sort | Madhu Shukla |
| collection | DOAJ |
| description | Extraluminal migration of a drug-eluting intracoronary stent into pericardial space with or without aneurysm formation is a rare complication. It is usually symptomatic although rare asymptomatic cases have been described. Herein, we report a 49-year-old male who presented with atypical chest pain 9 years after intracoronary stent implantation in the right coronary artery and the ramus intermediate branch. Echocardiographic examination showed a 7.4 cm × 3.8 cm large oblong cystic mass along the lateral wall of the left ventricle with inward bulging of the adjacent segments. Computed tomography and invasive coronary angiography showed this mass to be a partly thrombosed giant oblong coronary aneurysm arising from the bifurcation of the left main coronary artery with extraluminal migration of the stent from the ramus branch. |
| format | Article |
| id | doaj-art-26b41fd41020443ca1d2d5ea2433b668 |
| institution | OA Journals |
| issn | 2543-1463 2543-1471 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| spelling | doaj-art-26b41fd41020443ca1d2d5ea2433b6682025-08-20T02:09:45ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712024-03-018214915210.4103/jiae.jiae_69_23Giant Coronary Artery Aneurysm Associated with Extraluminal Migration of Stent: Role of Multimodal ImagingMadhu ShuklaJagdish Chander MohanExtraluminal migration of a drug-eluting intracoronary stent into pericardial space with or without aneurysm formation is a rare complication. It is usually symptomatic although rare asymptomatic cases have been described. Herein, we report a 49-year-old male who presented with atypical chest pain 9 years after intracoronary stent implantation in the right coronary artery and the ramus intermediate branch. Echocardiographic examination showed a 7.4 cm × 3.8 cm large oblong cystic mass along the lateral wall of the left ventricle with inward bulging of the adjacent segments. Computed tomography and invasive coronary angiography showed this mass to be a partly thrombosed giant oblong coronary aneurysm arising from the bifurcation of the left main coronary artery with extraluminal migration of the stent from the ramus branch.https://journals.lww.com/10.4103/jiae.jiae_69_23coronary aneurysmextraluminal migrationstent |
| spellingShingle | Madhu Shukla Jagdish Chander Mohan Giant Coronary Artery Aneurysm Associated with Extraluminal Migration of Stent: Role of Multimodal Imaging Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging coronary aneurysm extraluminal migration stent |
| title | Giant Coronary Artery Aneurysm Associated with Extraluminal Migration of Stent: Role of Multimodal Imaging |
| title_full | Giant Coronary Artery Aneurysm Associated with Extraluminal Migration of Stent: Role of Multimodal Imaging |
| title_fullStr | Giant Coronary Artery Aneurysm Associated with Extraluminal Migration of Stent: Role of Multimodal Imaging |
| title_full_unstemmed | Giant Coronary Artery Aneurysm Associated with Extraluminal Migration of Stent: Role of Multimodal Imaging |
| title_short | Giant Coronary Artery Aneurysm Associated with Extraluminal Migration of Stent: Role of Multimodal Imaging |
| title_sort | giant coronary artery aneurysm associated with extraluminal migration of stent role of multimodal imaging |
| topic | coronary aneurysm extraluminal migration stent |
| url | https://journals.lww.com/10.4103/jiae.jiae_69_23 |
| work_keys_str_mv | AT madhushukla giantcoronaryarteryaneurysmassociatedwithextraluminalmigrationofstentroleofmultimodalimaging AT jagdishchandermohan giantcoronaryarteryaneurysmassociatedwithextraluminalmigrationofstentroleofmultimodalimaging |