Acute large pseudoaneurysm of the left anterior descending artery following bypass surgery: combined percutaneous approach with a PTFE-coated coronary stent and coil embolization.
Injury of a native coronary vessel during coronary artery bypass grafting (CABG) is very rare. We report a case of a 76-year-old patient who developed a large pseudoaneurysm of the left anterior descending artery following CABG. The patient was then successfully treated by polytetrafluorethylene (PTFE)-stent graft implantation and percutaneous coil embolization. A coronary artery pseudoaneurysm caused by intraoperative damage has not been described previously.
Minden
Hans-Heinrich
HH
Heart Center Bernau, Cardiology Department, Ladeburger Strasse 17, Bernau, 16321, Germany. KHMinden@t-online.de
Just
Sören
S
Butter
Christian
C
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D003131:Combined Modality Therapy; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D011138:Polytetrafluoroethylene / Q000494:pharmacology; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
D011138:Polytetrafluoroethylene