Conservative approach for perforation and early pseudoaneurysm of left anterior descending artery during overlapped stenting.
Coronary artery perforation rarely occurs during or following percutaneous coronary intervention. Its consequences may range from minimal dye staining to tamponade and abrupt hemodynamic collapse. Coronary perforation during angioplasty can evolve into pseudoaneurysm. We report a case in which a vessel perforation and pseudoaneurysm were formed in the mid-portion of the left anterior descending artery during overlapped stenting. The perforation was sealed by inflating the angioplasty balloon. The patient was followed by angiography and intravascular ultrasound. After 1-week observation, the pseudoaneurysm was completely resolved.
Department of Interventional Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad
M
Alidoosti
Abbas
A
Soleimani
Ali
A
Abbasi
D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000628:therapy*; D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000628:therapy*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D012421:Rupture; D015607:Stents / Q000009:adverse effects*; D018084:Ultrasonography, Interventional