Related Experiment Video

Updated: Jun 26, 2026

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit
06:11

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit

Published on: May 14, 2020

2.4K

A case report of a rapidly growing giant coronary pseudoaneurysm: challenges and lessons learned

Hani J Alturkmani1, Srikanth Vallurupalli1,2, Malek Al-Hawwas1,2

  • 1University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR 72205, USA.

European Heart Journal. Case Reports
|January 4, 2024
PubMed

Insights

Giant coronary pseudoaneurysms are rare but serious complications. This case highlights the diagnostic and management challenges of a giant right coronary pseudoaneurysm, ultimately requiring surgical resection.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Coronary pseudoaneurysm is a rare, potentially fatal complication following coronary interventions.
  • Management strategies for coronary pseudoaneurysms remain uncertain due to limited evidence.

Observation:

  • A 56-year-old male presented with atypical ST-elevation myocardial infarction symptoms.
  • Initial angiography revealed a lesion likely connected to the aorta, which resolved after stent placement.
  • The patient later developed staph aureus bacteremia, infective endocarditis, and heart block, leading to the identification of a giant right coronary pseudoaneurysm.

Findings:

  • Diagnostic challenges included differentiating the pseudoaneurysm from other cardiac lesions.
  • Endovascular treatment with a covered stent was unsuccessful in managing the giant pseudoaneurysm.
  • Surgical resection was ultimately required for definitive treatment.

Implications:

  • This case underscores the importance of considering infectious etiologies in coronary pseudoaneurysm development.
  • It highlights the technical difficulties and limitations of endovascular approaches for large coronary pseudoaneurysms.
  • The presented case contributes to the limited evidence base for managing complex coronary pseudoaneurysms and suggests a need for a structured management algorithm.
Abstract

Keywords:
Cardiac surgeryCase reportCoronary pseudoaneurysmCoronary stentingPercutaneous coronary intervention

More Related Videos

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

2.1K
Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices07:21

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

Published on: September 8, 2023

747

Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...