Interventional Cardiology

Cases: Aneurysm

# Description PDF
1. Aneurysm SVG
Aneurism on SVG
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2. CX Aneurysm
Circumflex artery with 85% stenosis preceded by a sacular (6.5 mm) aneurysm. Predilated with a 3.0x20mm balloon. 3.0x18mm PCS GFX2 stents was placed . 8 months follow up: Patient continued to be asymptomatic with no change on angiography.
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3. LAD and RCA
Aneurism occlusion Patient was admitted for Aneurism on LAD. Aneurism on RCA found. Procedure to occlude RCA to be done one week later because a branch was occluded on the LAD
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4. LAD Prox - Dr. Gaspar
Globular aneurysm in the LAD preceding a 40% stenosis with a dissection flap. Stenotic plaque was dilated with a 4.0 x20 mm Rocket (ACS) balloon. 4.0x18mm PCS placed proximal to the take-off of the first diagonal branch with which the aneurysm was completely sealed off. Follow up: 6 month follow up patient continued to be asymptomatic with a < 10% luminal loss
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5. Mid LAD Aneurysm - Dr. Guyomi
Patient with an huge aneurysm in the mid segment of the LAD and a distal lesion.. Aneurysmatic lesion treated with a multiple Pericardium covered stents. Clinical follow up, patient continues to do well.
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6. Mid RAC Aneurysm - Dr. Villavicencio
59 year old male patient with an aneurysmatic lesion on the mid segment of the RCA and a distal lesion. Distal Lesion treated with a regular stent. Aneurysmatic lesion treated with a 4.5 X 23 mm Pericardium covered stent. 8 months follow up shows excellent result in both lesions
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7. Mid RCA - Dr. Gaspar
RCA in shallow left anterior oblique. A globular aneurysm of the mid RCA as well as a 85% slit-lesion of the distal RCA
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8. Mid RCA Aneurysm - Dr. Villavicencio
59 year old male patient with an aneurysmatic lesion on the mid segment of the RCA and a distal lesion. Distal Lesion treated with a regular stent. Aneurysmatic lesion treated with a 4.5 X 23 mm Pericardium covered stent. 8 months follow up shows excellent result in both lesions
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9. RCA - Huge CAA - Dr. Bramucci
Huge CAA successfully treated with PCS implantation.
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10. RCA Aneurysm - Dr. Guyomi
Patient with an huge aneurysm in the RCA and a distal aneurysm in the RCA. Aneurysmatic lesion treated with a multiple Pericardium covered stents. Distal aneurysm treated with a Pericardium stent as well Clinical follow up, patient continues to do well.
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11. RCA Aneurysm - Dr. Pitt
Aneurism on RCA. Re-visit to the lab was scheduled following diagnosis of aneurysm which had changed its shape, therefore needed to be treated. Prev MI + Left vessel CABG. A proximal O&U stent deployed in the aneurismatioc site, a cypher stent was deployed distally because of a question of distal edge tear from the O and U stent.
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12. SVG Aneurysm - Dr. Almagor
71 old year patient, with Class 2 stable angina , hypertensive, diabetic, hypercholesterolemia, with prior CABG and PCI intervention in the target graft with a prior stent deployment presented an 80% stenosis on the SVG associated with an aneurysm. A 4.0 X 18 MM pericardium covered stent was deploy successfully treating the lesion and excluding the aneurysm. Patient remained asymptomatic on a clinical 6 month follow up.
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13. SVG Aneurysm and Thombus - Dr. Gaspar
Patient presented with an AMI and the graft was totally occluded, PTCA performed and due to large thrombus thrombolytic therapy administered, patient scheduled the next day finding the 13 year-old degenerated SVG to LAD presenting an aneurysm containing remaining thrombus. Proximal PCS (3.5 X 28) deployed in the graft to exclude the aneurysm and thrombus and treat the lesion and a regular stent placed in the distal LAD. Patient follow up at 8 months show patent stent with no angiographic changes., patient remained asymptomatic
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14. SVG, Aneurysm and Thombus - Dr. Gaspar
13 year-old degenerated SVG to LAD An aneurysm containing a thrombus Patient arrived the day before with an AMI and the graft totally occluded
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