Repair of a coronary artery aneurysm by implantation of a coronary stent

A 67-year-old patient developed a third restenosis with coronary artery aneurysm of the left anterior descending artery after two previous percutaneous transluminal coronary angioplasty (PTCA) procedures and one previous combined excimer-laser/balloon angioplasty. The stenosis was successfully dilated by conventional balloon technique and the aneurysm was excluded by implantation of a Palmaz–Schatz stent. Follow-up examination after 6 months revealed normal coronary artery perfusion without restenosis, whereas the aneurysm remained occluded. This case demonstrates, that stenting of a coronary artery aneurysm may be a successful method for a permanent occlusion.