Primary aldosteronism associated with a giant coronary aneurysm after drug-eluting stent implantation

Yasuyuki Shiraishi, Hiroaki Tanaka, Tetsuro Hayashi, Yumiko Inui, Emi Takayama, Yukinori Ikegami, Jun Fuse, Munehisa Sakamoto, Tonghyo Chong, Yukihiko Momiyama

Research output: Contribution to journalArticle

Abstract

Although primary aldosteronism had been recognized to be a treatable type of hypertension, it was recently suggested to be associated with an increased risk of cardiovascular complications. Coronary artery aneurysm is a rare complication after drug-eluting stent (DES) implantation, and a giant coronary aneurysm is very rare. The present case is a 51-year-old, hypertensive patient with primary aldosteronism who developed myocardial infarction, a giant coronary aneurysm after DES implantation, and then cerebral hemorrhage. Our case suggests the excessively high risk for cardiovascular complications in patients with primary aldosteronism.<. Learning objective: Primary aldosteronism had been recognized to be a treatable type of hypertension. However, recent studies suggest that primay aldosteronism is associated with an increased risk of cardiovascular complications rather than essential hypertension. Coronary artery aneurysm is a rare complication after DES implantation. The present case is a patient with primary aldosteronism who developed myocardial infarction, a giant coronary aneurysm after DES implantation, and then cerebral hemorrhage, thus suggesting the excessively high risk for cardiovascular complications in primary aldosteronism.>.

Original languageEnglish
Pages (from-to)e11-e14
JournalJournal of Cardiology Cases
Volume7
Issue number1
DOIs
Publication statusPublished - 2013 Jan 1
Externally publishedYes

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Keywords

  • Coronary artery aneurysm
  • Drug-eluting stent
  • Primary aldosteronism

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Shiraishi, Y., Tanaka, H., Hayashi, T., Inui, Y., Takayama, E., Ikegami, Y., Fuse, J., Sakamoto, M., Chong, T., & Momiyama, Y. (2013). Primary aldosteronism associated with a giant coronary aneurysm after drug-eluting stent implantation. Journal of Cardiology Cases, 7(1), e11-e14. https://doi.org/10.1016/j.jccase.2012.09.002