Giant coronary pseudoaneurysm associated with stent fracture treated successfully with coil embolization and a vascular plug.

ABSTRACT: A 59-year-old man with acute cholangitis was referred to us because of a coronary artery aneurysm that was incidentally detected on contrast-enhanced computed tomography. Intravascular ultrasonography showed a loss of vascular layers and complete stent fracture, which was suggestive of a pseudoaneurysm. After some management protocols, such as observation, covered stent implantation, and surgical treatment, had failed, we treated the pseudoaneurysm successfully using coil embolization and a vascular plug. There were no complications during the perioperative period. We suggest that, if conventional management fails, treatment with coil embolization and a vascular plug should be considered.

Learning objective

A rare complication of percutaneous coronary intervention resulting from ste

SUBMITTER: Honde K 

PROVIDER: S-EPMC9995659 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature