Everolimus Eluting Stent-Induced Early Giant Multiple Coronary Artery Aneurysm Formation

Abstract

A 62-year-old male patient presented with dyspnea. The cardiac troponin I (cTn-I) level was found to be 26 pg/mL (0.0-47.34 pg/mL) in the patient, with no significant ischemic change in his electrocardiography. It was learned that the patient had a history of hypertension, diabetes mellitus, and Behcet's disease without follow-up and treatment. Echocardiography showed ejection fraction EF 30% and left ventricular global hypokinesia with dilatation. Diagnostic coronary angiography revealed a 70% stenosis in the mid part of the left anterior descending artery (LAD) with normal other coronary arteries. After a 2.5 x 20 mm balloon pre-dilatation, a 3.0 x 28 mm Everolimus-Eluting Platinum Chromium Coronary Stent System (Promus PREMIER, Boston Scientific) was implanted in the LAD. Post-dilatation was performed with a 3.5 x 15 mm non-compliant balloon at 14 atm and there was no significant residual stenosis (Figures 1a-d) (Video 1).