Spontaneous closure of post-intervention left anterior descending coronary pseudoaneurysm

Nunes, Rafael Amorim Belo; Cade, Jamil; Silva, Rafael C.; Júnior, Fabio Sândoli Brito; Freitas, Humberto Felício Gonçalves de

doi:10.1016/j.repce.2014.03.003

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…While the precise incidence of iatrogenic pseudoaneurysms as well as the exact pathophysiology causing them remains unknown, many are believed to close spontaneously with observation alone [6,24,25]. They may be treated via PCI using PTFE [26][27][28] or pericardial [29] covered stents or with percutaneous coil embolization [30], and surgical strategy includes on-lay patch grafting which can be done off-pump [31].…”

Section: Discussionmentioning

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: Discussionmentioning

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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A rare complication of percutaneous coronary intervention: Coronary pseudoaneurysm formation

Çeli̇k

Bekar

Yeti̇m

et al. 2017

Interventional Medicine and Applied Science

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Coronary pseudoaneurysms (CPAs) are rare complications developed after percutaneous coronary interventions. They may cause stent thrombosis, distal embolization, and coronary rupture leading to cardiac tamponade. Therefore, high-risk CPA should be promptly treated after diagnosis. They can be managed with percutaneous or surgical intervention. Herein, we aimed to present a patient who developed CPA 3 weeks after percutaneous coronary intervention and successfully treated with percutaneous intervention using a covered stent.

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Spontaneous closure of post-intervention left anterior descending coronary pseudoaneurysm

Cited by 2 publications

References 8 publications

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

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

A rare complication of percutaneous coronary intervention: Coronary pseudoaneurysm formation

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