Coronary Artery Pseudoaneurysm Following Blunt Trauma

Liu, Lin; Li, Zhaojun; He, Yihua; Gu, Xiaoyan; Nixon, J.V.

doi:10.1111/j.1540-8191.2012.01474.x

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2019

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“…They generally occur after repeated and often complex percutaneous coronary intervention (PCI) but may occur following pericardiocentesis [1]. Spontaneous giant coronary artery pseudoaneurysms have been reported following inflammatory disease [2,3] and blunt trauma [4]. However, scarce literature exists regarding giant coronary artery pseudoaneurysms complicated by contained rupture and their management.…”

Section: Introductionmentioning

confidence: 99%

Iatrogenic giant left anterior descending coronary artery pseudoaneurysm with contained perforation following percutaneous coronary intervention

Ahmed¹,

Sule²,

Swee³

et al. 2019

fmic

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Giant iatrogenic coronary pseudoaneurysms are very rare. Left untreated, they may cause serious adverse outcome. We present a case of a male patient with recurrent NSTEMIs and coronary interventions who developed a large LAD artery pseudoaneurysm with contained rupture. He underwent excision of the large proximal LAD pseudoaneurysm, excision of the previous LAD stent, ligation of proximal LAD, and coronary artery bypass grafting with LIMA-LAD graft. He subsequently recovered and was stable on follow up. In conclusion, an aggressive surgical strategy, though difficult, is likely the best means of management for lasting benefit.

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Section: Introductionmentioning

confidence: 99%