Open AccessNative Coronary Artery Pseudoaneurysm after Coronary Artery Bypass Grafting
Author(s) -
Alexander D Ghannam,
Nicholas Amoroso,
Mohammad Mathbout,
Arman Kilic,
Lucas Witer,
Sanford Zeigler,
Daniel Steinberg,
Marc Katz,
Nicolas H. Pope
Publication year - 2022
Publication title -
the heart surgery forum/the heart surgery forum
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 38
eISSN - 1522-6662
pISSN - 1098-3511
DOI - 10.1532/hsf.4531
Subject(s) - medicine , artery , pseudoaneurysm , hemopericardium , cardiac tamponade , cardiology , tamponade , thoracotomy , bypass grafting , percutaneous coronary intervention , surgery , radiology , myocardial infarction , aneurysm
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.