Coronary Artery Aneurysm After Bioresorbable Scaffold Implantation in a Woman With an Acute Coronary Syndrome

J Invasive Cardiol. 2017 Jul;29(7):E77-E78.

Abstract

We herein report the case of an ST-elevation myocardial infarction due to bioresorbable vascular scaffold (BRS) failure. Optical coherence tomography (OCT) revealed the exact mechanism of late BRS stent thrombosis due to an acquired coronary aneurysm related to BRS. A drug eluting OCT-guided stenting over a failed BRS in the context of an acute coronary syndrome, with the simultaneous presence of a BRS thrombosis and coronary artery aneurysm, proved to be effective.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome / diagnosis
  • Acute Coronary Syndrome / surgery*
  • Coronary Aneurysm / diagnosis
  • Coronary Aneurysm / etiology*
  • Coronary Angiography
  • Coronary Vessels / diagnostic imaging*
  • Coronary Vessels / surgery
  • Drug-Eluting Stents*
  • Everolimus / pharmacology*
  • Female
  • Humans
  • Immunosuppressive Agents / pharmacology
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects*
  • Percutaneous Coronary Intervention / methods
  • Reoperation
  • Tissue Scaffolds / adverse effects*
  • Tomography, Optical Coherence

Substances

  • Immunosuppressive Agents
  • Everolimus