50 years old male underwent PCI with DESto RCA (3.5 x 48 mm) for chronic total occlusion of mid RCA in Sept.2018. Coronary angiogramfor new onset angina in Feb.2019 showed giantcoronary aneurysm from proximal RCA, possibly from proximal edge of the stent. Two overlapping covered stents 4x19 mm & 3.5x19 mm were deployed for treating coronary aneurysm with IVUS/OCT study. For recurrent angina in July2019 , angiography showed proximal&distal edge restenosis of covered stents.
In Feb 2019: Right coronary artery showed giant coronary aneurysm from proximal RCA, possibly arising from proximal edge of the stent with a broad base. Left coronary artery showed 80% diffuse disease in mid LAD with normal LCx. RCA was treated with covered stents with IVUS/OCT guidance in March 2019. PCI For recurrent angina in July2019 , angiography showed discrete proximal & distal edge restenosis of covered stents in RCA.