Right Coronary Artery Pseudoaneurysm With Hemopericardium: A Rare Complication of Percutaneous Coronary Intervention
Sean Byrnes1, Vijay Raj2, Kunal Dhiren Gada3,1
1Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Insights
Percutaneous coronary intervention (PCI) can lead to coronary artery pseudoaneurysms. This case highlights a patient who developed a pseudoaneurysm after PCI, requiring surgical repair and emphasizing multidisciplinary care.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiovascular Surgery
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for coronary artery disease.
- Serious complications, including coronary artery pseudoaneurysms, can arise post-PCI.
- Coronary artery pseudoaneurysms pose a risk of progression to life-threatening conditions like cardiac tamponade.
Abstract:
While percutaneous coronary intervention (PCI) is a commonly performed procedure, it still has many serious complications. Coronary artery pseudoaneurysms can form after PCI and can progress to cardiac tamponade. We report the case of an 80-year-old male who presented for an inferior wall ST elevation myocardial infarction, had drug-eluting stents placed to the right coronary artery (RCA), and subsequently suffered a RCA pseudoaneurysm with hemopericardium. He eventually underwent pseudoaneurysm repair with off pump coronary artery bypass graft. There is no established treatment protocol, and involvement of a multidisciplinary team improves outcomes.
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