Spontaneous closure of a perforation-induced coronary artery pseudoaneurysm

We describe an unusual case of a coronary perforation presenting as a large pseudoaneurysm. An elderly woman who had undergone percutaneous coronary intervention several months earlier presented with shortness of breath. Cardiac catheterization revealed a large pseudoaneurysm arising from the proximal circumflex artery. At follow-up angiography a few days later, the pseudoaneurysm had spontaneously closed. In the discussion, we describe the incidence and treatment of this rare complication.