Non-invasive follow-up of a coronary artery pseudoaneurysm after percutaneous transluminal coronary rotational atherectomy (PTCRA)

Abstract

Percutaneous transluminal coronary rotational atherectomy (PTCRA) is an established treatment forvery calcified and/or undilatable coronary lesions. In contrast to data from directional coronary atherectomy (DCA) procedures, coronary artery aneurysms (CAA) or pseudoaneurysms have not routinely been described as a complication after PTCRA. We present a case of a 74-year-old patient, with a major CAA, found on a routine control coronary angiogram 4 months after a PTCRA of LAD complicated by a coronary perforation. A conservative management guided by coronary CT angiography is proposed.

Self limitation of coronary pseudoaneurysm after transluminal coronary rotational atherectomy

“…Coronary perforation and subsequent coronary pseudoaneurysm are considered to be of the most severe periprocedural complications [2]. Until now, the knowledge regarding incidence, treatment strategy and prognosis of the subsequent coronary pseudoaneurysm are limited in case of few literature reports [3,4]. We herein report a case of coronary pseudoaneurysm after rotational atherectomy in a long lesion with significant calcification and subtotal occlusion (Fig.…”