KMID : 0368120080380010069
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Korean Circulation Journal 2008 Volume.38 No. 1 p.69 ~ p.71
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A Sirolimus-Eluting Stent Fracture Combined with a Coronary Artery Aneurysm
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Lee Seung-Yul
Im Eui Yang Woo-In Kim Jung-Sun Cho Yun-Hyeong Shim Won-Heum
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Abstract
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A stent fracture combined with a coronary artery aneurysm is a rare event. As these events can lead to a harmful outcome, such as the development of myocardial ischemia by in-stent restenosis or thrombosis, repeated coronary intervention may be required. We report a case of a stent fracture combined with a coronary artery aneurysm. The fracture was thought to have developed by mechanical stress produced from a change of regional wall motion after an anteroseptal myocardial infarction. As detected by the use of intravascular ultrasound, neither in-stent restenosis nor a thrombus in the fractured stent was present. A cardiac magnetic resonance image showed that no viable myocardium in the anteroseptal wall was present. Therefore, the patient underwent medical treatment without intervention of the fractured stent
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KEYWORD
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Stents, Complications, Fracture, Aneurysm
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