Native Coronary Artery Pseudoaneurysm after Coronary Artery Bypass Grafting
Alexander Ghannam1, Nicholas Amoroso2, Mohammad Mathbout2
1Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC. ghannama@musc.edu.
Abstract:
Coronary artery pseudoaneurysms are extremely rare and most often occur after trauma or endovascular procedures [Aoki 2008; Kar 2017]. Delay in diagnosis or treatment may lead to coronary thrombosis with resultant ischemia or hemorrhage subsequent tamponade. Here, we present the case of a 66-year-old female who developed a coronary artery pseudoaneurysm of a non-grafted vessel three weeks after coronary artery bypass grafting. To avoid re-sternotomy, the pseudoaneurysm was successfully managed with a covered coronary stent and mini-left anterior thoracotomy to evacuate the hemopericardium and relieve tamponade.
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