Diabetic status-Drug eluting stent-cypher.Floppywire,Stormer Ballon 2.5´15mminflated at 10 atmosphere .Cypher 3´18mmdeployed at 14atmosphere.Post procedure TIMI Grade III flow.Received LMWH(5days) with standard antiplatelets therapy : aspirin 75mg and clopidogrel 75mgalong atorvastatin 40mg,ACEI,nitrates and beta blockers& antidiabeticmedications.Discharged after 7 days of hospital stay without any complicationswith the above medicines. Pre Procedural hsCRP : 10mg/L, Post procedure hs-CRP:12mg/L
After 14 months patient developed low grade fever andabdominal pain, resolved in 2-3 days.Subsequently developed chest pain..CHESTPAIN was constant,dull aching and had a dragging character occasionally painhad anginal character relieved with sublingual nitrates.Mostly not relievedwith any medication.
Decision for repeat Coronary Angiography; done in middle ofDecember 2005.Patients Glycemic and Renal status normal all along
Huge coronary aneurysm in case of DES due to infection/inflammation because of to reuse ofguide wire and guide catheter.Supportive evidence patient presented with feverand high hsCRP.Finally patient managed with CABG.