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Case report demonstrates spontaneous recanalization after failed intervention for an occluded coronary aneurysm in a young man, highlighting dynamic vascular remodeling.
We encountered an unusual case of acute myocardial infarction due to obstruction of a coronary aneurysm in a 38-year-old Japanese man. Although thrombolysis and rescue percutaneous transluminal coronary angioplasty, performed in the acute phase, did not result in recanalization, serial angiography and intravascular ultrasonography showed spontaneous recanalization and partial thrombosis within the aneurysmal segment during 3 months.
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Otsuka et al. (1997) studied this question.
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