Case Report

Percutaneous Treatment of a Giant Coronary Aneurysm Using a Greft Stent in a Patient with Systemic Lupus Erythematosus

10.1501/Tıpfak_000001000

  • Hüseyin Göksülük
  • Yusuf Atmaca
  • Bașar Candemir
  • Menekșe Gerede Uludağ
  • Onur Yıldırım
  • Çetin Erol

Received Date: 21.10.2017 Accepted Date: 07.03.2018 J Ankara Univ Fac Med 2018;71(1):69-71

Coronary artery aneurysm/ectasia (CAE) is defined as a dilatation of a coronary artery segment to more than 1.5-fold normal size in diameter. The leading etiologic factor of CAE is atherosclerotic coronary artery disease, but it can be seen rarely secondary to inflammatory diseases in romatological diseases (e.g. Kawasaki disease, Takayasu’s arteritis, Systemic Lupus Erythematosus (SLE), rheumatoid arthritis). We present here in a giant coronary aneurysm, possible etiologic causes and treatment in a patient with SLE who had a previous coronary intervention. Treatment was performed successfully with a covered stent. We thought that the aneurysm was developed secondary to the drug eluting stent that was previously implanted while SLE was in remission. This case report emphasizes that coronary artery disease should be considered in SLE patients who do not have traditional risk factors for coronary artery disease.

Keywords: Coronary Aneurysm, Systemic Lupus Erythematosus, Graft Stent