The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Coronary interventions

Management of a giant dual-chamber pseudoaneurysm of the proximal left anterior descending artery

EuroIntervention 2021;16:1424-1425. DOI: 10.4244/EIJ-D-19-00227

1. Interventional Cardiology Unit, Morgagni-Pierantoni Hospital, Forlì, Italy




Figure 1. Evolution and management of the giant dual-chamber pseudoaneurysm. A1) - A3) Urgent revascularisation of the proximal LAD with a non-compliant balloon. The arrows indicate the origin of two close diagonal branches. B) Seven-day control angiography showing the giant dual-chamber pseudoaneurysm, corresponding to the origin of the two diagonal branches. C) 3D volume-rendering view from coronary computed tomography angiography. D) Ten-day control angiography and IVUS imaging with different cross-sections showing the damage to the vessel (1-2) and the proximal edge of the distally migrated stent (3). E) Residual flow after coil embolisation. F) Stent deployment. G) Final result: a ...

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