Related Experiment Video

Updated: Sep 28, 2026

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
07:21

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices

Published on: September 8, 2023

Interventional treatment of giant pseudoaneurysm with subsequent decompression of internal mammaria bypass

Martin Hinterseer1, Alexander Becker, Peter Steinbigler

  • 1Department of Cardiology, Klinikum Grosshadern, Ludwig-Maximilians-University, Munich, Germany. hinterseer@med1.med.uni-muenchen.de

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|November 28, 2002
PubMed

Insights

A patient experienced angina following direct current cardioversion. Coronary angiography revealed a giant pseudoaneurysm of the left descending artery, successfully treated with stent grafts.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • A 38-year-old patient with a history of coronary heart disease, including prior intervention and coronary artery bypass grafting (CABG), presented with angina.
  • The patient had undergone recent interventional treatment for the left anterior descending (LAD) and right coronary artery (RCA) and emergency CABG six months prior.

Observation:

  • On admission, coronary angiography identified a giant pseudoaneurysm of the left descending coronary artery.
  • This pseudoaneurysm was causing compression of the left internal mammary artery (LIMA).

Findings:

  • The giant pseudoaneurysm of the left descending coronary artery was successfully treated using three stent grafts.
  • This intervention resolved the compression of the LIMA.

Implications:

  • This case highlights a rare complication of pseudoaneurysm formation in the context of coronary artery disease.
  • Stent graft placement offers a viable endovascular solution for managing complex coronary artery pseudoaneurysms.
  • Successful management of this pseudoaneurysm potentially prevented further cardiac events or complications.

More Related Videos

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...