[Case Report] Two different successful angioplasty methods in patients with stenotic coronary artery ectasia

Two Different Successful Angioplasty Methods in Patients with Stenotic Coronary Artery Ectasia

 Chonnam Med J. 2012 Dec;48(3):185-9. doi: 10.4068/cmj.2012.48.3.185. Epub 2012 Dec 21.

Suk-Kyu Oh, Seung-Woon Rha*, Hyungdon Kook, Dong Hyeok Kim, Seo Young Ho, Sun Hwa Kim, Cheol Ung Choi and Dong Joo Oh

Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea

There is no current guideline for percutaneous coronary angioplasty in stenotic ectatic
coronary arteries because of the heterogeneity of the coronary artery morphology. We
report two successful angioplasty cases in coronary artery ectasia with different clinical
scenarios. One case showed atherosclerotic stenosis in the ectatic portion of the right
coronary artery that was aggravated after a coronary artery bypass graft. In this case,
balloon angioplasty alone without stenting showed acceptable results at the 6-month
follow-up coronary angiography. In the other case, we used a peripheral artery balloon
and stent for stenosis in the ectatic portion of a large coronary artery. Six-month follow-
up coronary angiography showed excellent patency of the previously implanted
peripheral stent.

Key Words: Angioplasty; Balloon; Coronary