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Ann Thorac Surg 2009;88:664-665. doi:10.1016/j.athoracsur.2008.11.077
© 2009 The Society of Thoracic Surgeons
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Sung Hea Kim
Hyun Joong Kim
Jun Suk Kim
Hyun Keun Chee
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Right arrow Coronary disease

Case Reports

A Fractured Sirolimus-Eluting Stent With a Coronary Aneurysm

Sung Hea Kim, MDa, Hyun Joong Kim, MDa, Seong Woo Han, MDa, Sang Man Jung, MDa, Jun Suk Kim, MDb, Hyun Keun Chee, MDb, Kyu Hyung Ryu, MD, PhD, FACCa,*

a Department of Cardiology, Konkuk University School of Medicine, Seoul, Korea
b Department of Cardiovascular Surgery, Konkuk University School of Medicine, Seoul, Korea

Accepted for publication November 20, 2008.

* Address correspondence to Dr Ryu, Department of Cardiology, Konkuk University School of Medicine, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 143-729, Korea (Email: khryu{at}kuh.ac.kr).

A 55-year-old man had undergone successful percutaneous intervention with a sirolimus-eluting stent, placed in the right coronary artery (2.5 x 33 mm) and distal left circumflex artery (3.0 x 28 mm) without high pressure ballooning. Twelve months later he presented with unstable angina. Angiography revealed two fracture sites on the right coronary artery–deployed stent, with a large aneurysm and an aneurysmal dilatation of the left circumflex artery without stent fracture. Due to the potential risk of aneurysmal rupture, he underwent coronary artery bypass grafting and ligation of the aneurysm.




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