title: Large coronary pseudoaneurysm with pulmonary artery fistula, six months after left main trunk stenting with paclitaxel-eluting stent.
abstract: There are no reported cases of a pseudoaneurysm leading to a fistula into the pulmonary artery after percutaneous coronary intervention. We describe a patient who developed a late pseudoaneurysm after left main trunk (LMT) stenting with paclitaxel-eluting stent, discovered during coronary angiography. Transesophageal echocardiography and contrast-enhanced computed tomographic scan revealed a pericardial effusion, a large pseudoaneurysm communicating with LMT and a fistula into the pulmonary artery. The recommended therapy was surgery.
authors.affiliation: Deparment of Cardiology, Niculaie Stancioiu Heart Institute Cluj-Napoca, Romania. daduhagau@yahoo.com
authors.forename: Alexandru M T
authors.initials: AM
authors.lastname: Hagau
authors.forename: Sorin M
authors.initials: SM
authors.lastname: Dudea
authors.forename: Radu
authors.initials: R
authors.lastname: Hagau
authors.forename: Natalia
authors.initials: N
authors.lastname: Hagau
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D006801:Humans; D008297:Male; D017239:Paclitaxel / Q000008:administration & dosage / Q000009:adverse effects; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D016896:Treatment Outcome
chemical_list: D017239:Paclitaxel