The Unholy Trinity: A Hybrid PCI Approach for Left Main Pseudoaneurysm, In-Stent Restenosis, and Acute Myocardial

Gabriele Pavani1, Pavani Marco2, Enrico Cerrato2

  • 1Interventional Cardiology Unit, San Luigi Gonzaga University Hospital, Turin, Italy; Interventional Cardiology Unit, Infermi Hospital, Turin, Italy; University of Turin, Turin, Italy.

Summary

A rare complication of stenting, Left Main Coronary Artery (LMCA) pseudoaneurysm from in-stent restenosis (ISR) causing ST-Elevation Myocardial Infarction (STEMI) was successfully treated. A hybrid approach combining angioplasty, coil embolization, and stenting restored coronary flow.

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