[Post-traumatic false (pseudo) aneurysm of the left main coronary artery]
Melina M Gallo1, Sebastián Carrizo, Roberto S Cooke
1Servicio de Cirugía Cardiovascular, Sanatorio Allende, Córdoba, Argentina.
Abstract:
Coronary pseudo-aneurysm is an extremely rare entity. Its natural history is scarcely known and its treatment is controversial. We report a case of pseudo-aneurysm of the left main coronary artery associated with an antero-apical infarct of the left ventricle diagnosed five years after a cardiac arrest following a non-penetrating thoracic trauma. The patient was treated conservatively because percutaneous or surgical correction were not considered suitable for this lesion. A multidetector computed tomography coronary angiogram performed 10 years after the initial event showed no evidence of progression.
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