Native Coronary Artery Pseudoaneurysm after Coronary Artery Bypass Grafting
DOI:
https://doi.org/10.1532/hsf.4531Keywords:
acute coronary syndrome, aneurysm, aorta, aortic arch, coronary stents, PCI, coronary artery imaging, coronary artery bypass grafts, CABGAbstract
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.
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