Related Experiment Video

Updated: Feb 18, 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

1.1K

Transcatheter embolization of a giant coronary artery pseudoaneurysm

Pratik Dalal1, Divyashree Varma1, Ripa Chakravorty1

  • 1Department of Medicine, Division of Cardiology, University of Texas Health Science Center, San Antonio, TX, United States.

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|November 21, 2017
PubMed

Insights

A diabetic patient with recurrent bacteremia after bypass surgery was treated percutaneously for a giant coronary artery pseudoaneurysm. This minimally invasive approach successfully closed the pseudoaneurysm, improving the patient's condition.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Medical Imaging

Background:

  • A 53-year-old male with diabetes mellitus and sternal dehiscence experienced recurrent Staphylococcus bacteremia two years post-coronary artery bypass grafting (CABG).
  • Imaging revealed a giant pseudoaneurysm of the right coronary artery (RCA) and a coronary cameral fistula.

Observation:

  • The patient presented with a complex cardiac anomaly following CABG, complicated by recurrent bloodstream infections.
  • High surgical risk precluded traditional open-heart repair for the RCA pseudoaneurysm and fistula.

Findings:

  • Percutaneous closure of the giant RCA pseudoaneurysm and coronary cameral fistula was achieved using a 5mm Amplatzer vascular plug.
  • Post-procedure imaging confirmed successful occlusion of the pseudoaneurysm, and follow-up CT scans showed significant reduction in its size.

Implications:

  • Percutaneous embolization offers a viable, less invasive alternative for managing complex coronary artery pseudoaneurysms in high-risk patients.
  • This case highlights the potential of interventional techniques to address post-surgical cardiac complications effectively.
  • Successful treatment may reduce the risk of recurrent bacteremia and improve long-term outcomes in selected patients.

Keywords:
Amplatzer vascular plugCoronary arteryPercutaneous interventionPseudoaneurysm

More Related Videos

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

587
Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit07:04

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit

Published on: April 15, 2021

2.5K

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...
326
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
314
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
380