Post-atherectomy coronary artery aneurysm

Ann Thorac Surg. 1992 Dec;54(6):1216-8. doi: 10.1016/0003-4975(92)90105-d.


A 52-year-old man underwent an uneventful directional atherectomy of the left anterior descending coronary artery. Four months after the procedure unstable angina developed and on angiogram an aneurysm of the left anterior descending coronary artery was noted. The patient underwent bypass of the left anterior descending coronary artery. An attempt to exclude the aneurysm resulted in hemodynamic compromise and was discontinued. Follow-up angiogram 2 months after operation showed the aneurysm to be smaller. The patient is doing well 6 months after operation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Atherectomy, Coronary / adverse effects*
  • Coronary Aneurysm / diagnostic imaging*
  • Coronary Aneurysm / etiology
  • Coronary Aneurysm / surgery
  • Coronary Angiography
  • Coronary Artery Bypass
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery