A Case of Off-Pump Coronary Artery Bypass Grafting for Coronary Aneurysm after Drug-Eluting Stent Implantation

Masahiro Ueno	Hironori Inoue	Keisuke Yamamoto
Yasuo Morishita

（Department of Cardiovascular Surgery, Tenyoukai Central Hospital, Kagoshima, Japan）

A 77-year-old woman underwent percutaneous coronary intervention（PCI）for chronic total occlusion of the left anterior descending artery using a drug-eluting stent（DES). Re-stenosis, stent fracture, and aneurysm were found on follow-up coronary angiography（CAG), and thus implantation of multiple DESs was required. Surgery was indicated because CAG 48 months after first DES implantation revealed enlargement of the aneurysm with other new lesions. She successfully underwent off-pump coronary artery bypass grafting and resection of the aneurysm.

 

Jpn. J. Cardiovasc. Surg. 44:224-227（2015）

Keywords：drug-eluting stent;coronary aneurysm;coronary artery bypass grafting