Maladies cardiovasculaires et diagnostic

Post Balloon Stent Right Coronary Artery Aneurysm: Cardiologist's Nightmare

Abstract

Sandeep Kumar Kar, Deepanwita Das, Chaitali Sen Dasgupta

Coronary artery aneurysm is an uncommon complication after balloon angioplasty and stent insertion but not rare. A sixty three years old male presented with acute onset chest pain after 1 year of stent insertion in RCA (Right coronary artery). Investigations revealed RCA aneurysm with stent thrombosis. This was managed successfully by surgical resection of aneurysmal sac and removal of the occluded stent with ligation of RCA followed by distal RCA anastomosis under femoro- femoral bypass during meticulous dissection of the aneurismal sac followed by CABG under cardiopulmonary bypass.