Rapid evolution from coronary dissection to pseudoaneurysm after stent implantation: a glimpse at the pathogenesis using intravascular ultrasound.
Coronary dissection during angioplasty can evolve into pseudoaneurysm. Stenting should prevent this complication. We present a case of coronary pseudoaneurysm after dissection that developed despite stent implantation. Intravascular ultrasound demonstrated no sealing of the false lumen due to undersizing and non-apposition to the wall by the stent.
Cafri
Carlos
C
Cardiology Department, Soroka Medical Center, Beer Sheva, Israel, 84105. cafricar@kruhama.org.il
Gilutz
Harel
H
Kobal
Sergio
S
Esanu
Georgeta
G
Weinstein
Jean Marc
JM
Abu-Ful
Akram
A
Ilia
Reuben
R
D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology*; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology*; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D018084:Ultrasonography, Interventional