Hybrid Strategy to Treat Life-Threatening Giant Coronary Artery Aneurysm With Severe In-Stent Restenosis

Wei-Chieh Lee; Hsiu-Yu Fang; Chih-Yuan Fang

doi:10.1536/ihj.16-233

Case Reports

Hybrid Strategy to Treat Life-Threatening Giant Coronary Artery Aneurysm With Severe In-Stent Restenosis

Wei-Chieh Lee, Hsiu-Yu Fang, Chih-Yuan Fang

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Keywords: Left main bifurcation, Culotte technique, Drug-eluting stent, Coronary arterial bypass grafting

JOURNAL FREE ACCESS

2017 Volume 58 Issue 2 Pages 283-285

DOI https://doi.org/10.1536/ihj.16-233

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Abstract

Coronary artery aneurysm following drug-eluting stent implantation is rare in the literature. The presentation combined a life-threatening condition with severe in-stent restenosis. How to treat this condition is a complex problem because a surgical approach for a proximal left circumflex lesion is difficult. A hybrid method that is a combination of coronary bypass surgery and coronary stenting for left main bifurcation in-stent restenosis and proximal coronary artery aneurysm is a feasible strategy.

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