Author + information
- Received August 2, 2010
- Accepted August 20, 2010
- Published online March 1, 2011.
- Julia Schumm, MD⁎,⁎ (, )
- Andreas Ragoschke-Schumm, MD†,
- Andreas Hansch, MD†,
- Markus Ferrari, MD⁎,
- Peter Schmidt, MD†,
- Hans R. Figulla, MD⁎ and
- Thomas E. Mayer, MD†
- ↵⁎Reprint requests and correspondence:
Dr. Julia Schumm, Department of Internal Medicine I, Friedrich-Schiller-University, Erlanger Allee 101, 07740 Jena, Germany
A 58-year-old woman presented for percutaneous occlusion of an incidentally found aneurysm of the left main trunk bifurcation. Angiography and computed tomography showed a dome of 11 mm and a neck of 6 mm communicating with the left anterior descending coronary artery (LAD) and the circumflexing artery (Figs. 1A to 1C, Online Video 1). Intravascular ultrasound revealed a broad aneurysm neck (Fig. 1D). To prevent coils from dislocating into the lumen of the LAD, a retrievable self-expanding stent (Solitaire, ev3, Irvine, California) was placed reaching from the main trunk into the LAD, thus covering the neck and stabilizing the microcatheter (arrows, Fig. 1F). After coil-embolization, the stent was removed (Fig. 1G). Intravascular ultrasound showed a patent lumen of the LAD and echogenic coils inside the aneurysm (arrows, Fig. 1E). The patient was discharged in good condition. This is the first reported use of a retrievable stent to support coiling of a coronary artery aneurysm.
For an accompanying video, please see the online version of this article.
The authors have reported that they have no relationships to disclose.
- Received August 2, 2010.
- Accepted August 20, 2010.
- American College of Cardiology Foundation