Giant left main pseudoaneurysm obstructing the left anterior descending coronary artery demonstrated by transesophageal echocardiography and coronary angiography.
Left main pseudoaneurysm is a rare angiographic finding in young adults. We describe a 23-year-old male who presented with an acute anterior wall myocardial infarction. Coronary angiography and transesophageal echocardiography reveal a huge aneurysm of the distal left main obstructing the left anterior descending artery (LAD), which was defined by history as a pseudoaneurysm. The pseudoaneurysm was successfully resected and mammary artery was used to repair the distal left main and to bypass the LAD.
Shalev
Y
Y
Heart Institute, Kaplan Hospital, Rehovot, Israel.
Vidne
B
B
Snir
E
E
Kracoff
O H
OH
Oetinger
M
M
Caspi
A
A
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications