Native Coronary Artery Pseudoaneurysm after Coronary Artery Bypass Grafting

Authors

  • Alexander D. Ghannam, MD Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC
  • Nicholas S. Amoroso, MD Division of Cardiology, Medical University of South Carolina, Charleston, SC
  • Mohammad Mathbout, MD Division of Cardiology, Medical University of South Carolina, Charleston, SC
  • Arman Kilic, MD Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC
  • Lucas Witer, MD Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC
  • Sanford M. Zeigler, MD Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC
  • Daniel H. Steinberg, MD Division of Cardiology, Medical University of South Carolina, Charleston, SC
  • Marc R. Katz, MD Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC
  • Nicolas H. Pope, MD Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC

DOI:

https://doi.org/10.1532/hsf.4531

Keywords:

acute coronary syndrome, aneurysm, aorta, aortic arch, coronary stents, PCI, coronary artery imaging, coronary artery bypass grafts, CABG

Abstract

Coronary artery pseudoaneurysms are extremely rare and most often occur after trauma or endovascular procedures [Aoki 2008; Kar 2017]. Delay in diagnosis or treatment may lead to coronary thrombosis with resultant ischemia or hemorrhage subsequent tamponade. Here, we present the case of a 66-year-old female who developed a coronary artery pseudoaneurysm of a non-grafted vessel three weeks after coronary artery bypass grafting. To avoid re-sternotomy, the pseudoaneurysm was successfully managed with a covered coronary stent and mini-left anterior thoracotomy to evacuate the hemopericardium and relieve tamponade.

References

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Published

2022-04-22

How to Cite

Ghannam, A., Amoroso, N. ., Mathbout, M., Kilic, A., Witer, L., Zeigler, S., Steinberg, D., Katz, M., & Pope, N. (2022). Native Coronary Artery Pseudoaneurysm after Coronary Artery Bypass Grafting. The Heart Surgery Forum, 25(2), E297-E299. https://doi.org/10.1532/hsf.4531

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