A case report of a rapidly growing giant coronary pseudoaneurysm: challenges and lessons learned.

ABSTRACT:

Background

Coronary pseudoaneurysm is a rare, potentially fatal, complication of coronary intervention. A challenging management case of a giant right coronary pseudoaneurysm is presented.

Case summary

A 56-year-old man presented with an atypical presentation for ST-elevation myocardial infarction. Initial angiogram showed a crescent-shaped ostial lesion with probable connection to the aorta, which disappeared after placing a drug-eluting stent. A few hours later, patient was found to have staph aureus bacteraemia and infective endocarditis for which he received a prolonged antibiotic course. Patient presented a few weeks later with second degree heart block. Echocardiography showed a large cystic lesion adjacent to the right coronary cusp suspicious for a coronary pseudoane

SUBMITTER: Alturkmani HJ 

PROVIDER: S-EPMC10762889 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature