Intrastent Coronary Pseudoaneurysm in the Setting of Primary Angioplasty: An Early Presentation
2020
Pseudoaneurysm formation is an uncommon but dreaded complication of
percutaneous coronary intervention (PCI). Herein, we describe the case of a
patient who developed symptomatic pseudoaneurysm within a month of primary
PCI using a zotarolimus eluting stent (ZES). Despite a review of the literature and
an examination of the procedural data, we were not able to explain the definite
mechanism of pseudoaneurysm formation in our case. We assume that there was
stent strut malapposition leading to non-angiographically visible dissection that
provoked this phenomenon.
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