{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T06:38:38Z","timestamp":1788503918432,"version":"build-2803163510"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Coronary artery aneurysms (CAAs) of the left main represent a small subset of coronary artery disease and are associated with cardiovascular death. Because of its rare entity, large data are lacking and therefore treatment guidelines are missing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We describe a case of a 56-year-old female with a past medical history of spontaneous dissection of the distal descending left artery (LAD) 6 years before. She presented to our hospital with a non-ST elevation myocardial infarction and a coronary angiogram showed a giant saccular aneurysm of the shaft of the left main coronary artery (LMCA). Given the risk of rupture and distal embolization, the heart team decided to go for a percutaneous approach. Based on a pre-interventional 3D reconstructed CT scan and guided by intravascular ultrasound, the aneurysm was successfully excluded with a 5\u2005mm papyrus-covered stent. At 3-month and 1-year follow-up, the patient is still asymptomatic and repeat angiographies showed full exclusion of the aneurysm and the absence of restenosis in the covered stent.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>We describe the successful percutaneous IVUS-guided treatment of a giant LMCA shaft coronary aneurysm with a papyrus-covered stent with an excellent 1-year angiographic follow-up showing no residual filling of the aneurysm and no stent restenosis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac463","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T20:50:48Z","timestamp":1670446248000},"source":"Crossref","is-referenced-by-count":5,"title":["Giant coronary artery aneurysm of the left main treated with a covered stent: a case report"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7951-5239","authenticated-orcid":false,"given":"Wouter","family":"Holvoet","sequence":"first","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL) , Schiepse Bos 6, 3600 Genk , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"van den Buijs","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL) , Schiepse Bos 6, 3600 Genk , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eline","family":"Bogaerts","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL) , Schiepse Bos 6, 3600 Genk , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Endry","family":"Willems","sequence":"additional","affiliation":[{"name":"Department of Radiology, Ziekenhuis Oost-Limburg, Genk (ZOL) , Schiepse Bos 6, 3600 Genk , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koen","family":"Ameloot","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL) , Schiepse Bos 6, 3600 Genk , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Dens","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Genk (ZOL) , Schiepse Bos 6, 3600 Genk , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,12,7]]},"reference":[{"key":"2022122917043055800_ytac463-B1","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/0002-9149(69)90500-1","article-title":"Bougon on coronary aneurysm (1812)","volume":"24","author":"Jarcho","year":"1969","journal-title":"Am J 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