Transcatheter embolization of a giant coronary artery pseudoaneurysm

Pratik Dalal; Divyashree Varma; Ripa Chakravorty; Salil Sethi; Steven Bailey; Anand Prasad

doi:10.1016/j.carrev.2017.10.010

Transcatheter embolization of a giant coronary artery pseudoaneurysm

Cardiovasc Revasc Med. 2018 Mar;19(2):204-208. doi: 10.1016/j.carrev.2017.10.010. Epub 2017 Nov 16.

Authors

Pratik Dalal¹, Divyashree Varma¹, Ripa Chakravorty¹, Salil Sethi¹, Steven Bailey¹, Anand Prasad²

Affiliations

¹ Department of Medicine, Division of Cardiology, University of Texas Health Science Center, San Antonio, TX, United States.
² Department of Medicine, Division of Cardiology, University of Texas Health Science Center, San Antonio, TX, United States. Electronic address: Prasada@uthscsa.edu.

PMID: 29153509
DOI: 10.1016/j.carrev.2017.10.010

Abstract

A 53-year-old diabetic male with sternal dehiscence presented with recurrent staphylococcus bacteremia 2years after coronary artery bypass grafting (CABG). He was found to have a giant right coronary artery (RCA) pseudoaneurysm and a coronary cameral fistula on imaging. Due to excessive surgical risk, the patient underwent percutaneous treatment with a 5mm Amplatzer vascular plug 4 (St. Jude Medical, St.Paul, MN). Post-procedure imaging showed successful cessation of flow into the pseudoaneurysm and follow-up CT scan demonstrated significant improvement in the size of the pseudoaneurysm.

Keywords: Amplatzer vascular plug; Coronary artery; Percutaneous intervention; Pseudoaneurysm.

Publication types

Case Reports

MeSH terms

Aneurysm, False / diagnostic imaging
Aneurysm, False / therapy*
Cardiac Catheterization* / instrumentation
Cardiac Catheters
Computed Tomography Angiography
Coronary Aneurysm / diagnostic imaging
Coronary Aneurysm / therapy*
Coronary Angiography / methods
Echocardiography, Doppler, Color
Embolization, Therapeutic* / instrumentation
Humans
Male
Middle Aged
Treatment Outcome