Pseudoaneurysm with thrombus and left ventricular inflow obstruction after left circumflex stenting.
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.
Shao
John H
JH
Department of Medicine, Cardiology Division, New York Medical College, Valhalla, NY 10595, USA.
Aronow
Wilbert S
WS
Kupersmith
Andrew
A
Naseer
Nauman
N
Belkin
Robert N
RN
Ravipati
Gautham
G
Sandhu
Rasham
R
Weiss
Melvin B
MB
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*