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Ann Thorac Surg 2007;83:1530-1532
© 2007 The Society of Thoracic Surgeons

Case Reports

Drug-Eluting Stent-Induced Left Anterior Descending Coronary Artery Aneurysm: Repair by Pericardial Patch—Where Are We Headed?

Suvitesh Luthra, MRCS-Ed, MCh(CTVS)a,*, James Tatoulis, MS, FRACSa, Roderic J. Warren, PhDb

a Department of Cardiothoracic Surgery, Royal Melbourne Hospital, University of Melbourne, Australia
b Department of Cardiology, Royal Melbourne Hospital, University of Melbourne, Australia

Accepted for publication December 29, 2006.

* Address correspondence to Dr Luthra, Department of Cardiothoracic Surgery, 2 North, Royal Melbourne Hospital, Grattan Street, Parkville, Melbourne, Victoria 3050 Australia (Email: suviteshluthra{at}yahoo.com).

Deployment of drug-eluting stents has been associated with late thrombosis and restenosis on withdrawal of antiplatelet agents. We report a complication of inflammation and localized coronary artery aneurysms immediately adjacent to the stent after 4 years of implantation. Late chronic inflammatory responses may evolve for up to 4 years after sirolimus-eluting stent implantation and can cause weakening, erosion, and aneurysms of the coronary arteries.




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