A leaking spontaneous coronary artery pseudoaneurysm.
Qiangjun CaiSyed GilaniPublished in: Proceedings (Baylor University. Medical Center) (2020)
A 78-year-old man presented with chest pain and ST segment elevation. Coronary angiography showed no significant coronary artery disease. A saccular pocket of contrast material was found outside of the distal right posterior descending coronary artery consistent with a pseudoaneurysm. Echocardiography showed a pocket of pericardial fluid behind the left atrium concerning for a hemopericardium. The pseudoaneurysm was treated urgently with two coils successfully deployed to obtain complete exclusion of the pseudoaneurysm sac and occlusion of the distal portion of the posterior descending coronary artery.
Keyphrases
- coronary artery
- pulmonary artery
- endovascular treatment
- coronary artery disease
- pulmonary hypertension
- minimally invasive
- left ventricular
- magnetic resonance
- computed tomography
- pulmonary arterial hypertension
- percutaneous coronary intervention
- heart failure
- magnetic resonance imaging
- vena cava
- coronary artery bypass grafting
- aortic valve
- left atrial appendage