title: Pseudoaneurysm with thrombus and left ventricular inflow obstruction after left circumflex stenting.
abstract: A 61-year-old woman had stenting of the left circumflex coronary artery. She had a repeat coronary angiogram the day after stenting because of hypotension and orthopnea. The left circumflex stent was patent. A transesophageal echocardiogram showed a 2.5 cm x 3.0-cm mass in the atrioventricular groove compressing the left atrium. A pseudoaneurysm with thrombus and left ventricular inflow obstruction was diagnosed. The patient was observed for 48 hours to allow the pseudoaneurysm to seal and coagulate. She then had surgical evacuation of the thrombus, which had caused her hypotension and orthopnea by compression of the left atrium.
authors: Department of Medicine, Cardiology Division, New York Medical College, Valhalla, NY 10595, USA.
authors: John H
authors: JH
authors: Shao
authors: Wilbert S
authors: WS
authors: Aronow
authors: Andrew
authors: A
authors: Kupersmith
authors: Nauman
authors: N
authors: Naseer
authors: Robert N
authors: RN
authors: Belkin
authors: Gautham
authors: G
authors: Ravipati
authors: Rasham
authors: R
authors: Sandhu
authors: Melvin B
authors: MB
authors: Weiss
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*