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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.
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.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Surgery
Background:
- Iatrogenic pseudoaneurysms of the Left Main Coronary Artery (LMCA) are rare but life-threatening complications of percutaneous coronary intervention (PCI).
- In-stent restenosis (ISR) can lead to pseudoaneurysm formation, presenting a complex therapeutic challenge, especially when associated with ST-Elevation Myocardial Infarction (STEMI).
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