Communicating Coronary and Ventricular Pseudoaneurysms Complicating Coronary Artery Perforation

Miho Sugitani; Shimpei Nakatani; Ayano Kuraoka; Kenji Kawai; Atsunori Okamura; Yoshiyuki Kijima; Tohru Masuyama

doi:10.1016/j.jaccas.2022.07.012

Communicating Coronary and Ventricular Pseudoaneurysms Complicating Coronary Artery Perforation

JACC Case Rep. 2022 Aug 17;4(16):1020-1025. doi: 10.1016/j.jaccas.2022.07.012.

Authors

Miho Sugitani¹, Shimpei Nakatani¹, Ayano Kuraoka¹, Kenji Kawai¹, Atsunori Okamura², Yoshiyuki Kijima¹, Tohru Masuyama¹

Affiliations

¹ Department of Cardiology, JCHO Hoshigaoka Medical Center, Hirakatashi, Osaka, Japan.
² Department of Cardiology, Sakurabashi-Watanabe Hospital, Osakashi, Osaka, Japan.

Abstract

We present the case of a 75-year-old man who experienced rebleeding after surgical treatment of grade III coronary perforation, resulting in intertwined complications including communicating coronary and ventricular pseudoaneurysms. The percutaneous intervention of sealing the rebleeding site with a covered stent implantation managed this rare pseudoaneurysm successfully. (Level of Difficulty: Advanced.).

Keywords: CAG, coronary angiography; CP, coronary perforation; CT, computed tomography; IVUS, intravascular ultrasound; LAD, left anterior descending artery; PCI, percutaneous coronary intervention; coronary perforation; coronary pseudoaneurysm; coronary rupture; covered stent; left ventricular pseudoaneurysm; ventricular pseudoaneurysm.

Publication types

Case Reports