Nakagawa T, Hara H, Wakiya M, Hiroi Y. Coil embolization for ruptured coronary pseudoaneurysm causing haemopericardium: a case report.
EUROPEAN HEART JOURNAL-CASE REPORTS 2021;
5:ytab129. [PMID:
34124560 PMCID:
PMC8189297 DOI:
10.1093/ehjcr/ytab129]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 11/02/2020] [Accepted: 03/17/2021] [Indexed: 11/13/2022]
Abstract
Background
Coronary artery pseudoaneurysm is a rare disease that can rupture and cause haemopericardium. It can occur principally as a complication after coronary artery instrumentation, but it can also result from trauma.
Case summary
A 15-year-old male patient with a history of spontaneous pneumothoraces treated twice with video-assisted thoracoscopic thoracic surgery presented with pericarditis and increasing haemopericardium. During the hospitalization, he had developed cardiogenic shock and he underwent emergent pericardiocentesis. Coronary angiography revealed a small right coronary artery pseudoaneurysm. We successfully coil embolized the pseudoaneurysm.
Discussion
This is a rare case of a ruptured coronary artery pseudoaneurysm associated with prior tube thoracostomy. The treatments for a coronary pseudoaneurysm should be tailored based on the pathologic and anatomical characteristics.
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