Key result
PCI with DES relieves dynamic coronary compression symptoms caused by an LV pseudoaneurysm.
Case Report (n=1)
Percutaneous coronary intervention with drug-eluting stent implantation can provide effective symptom relief for dynamic coronary compression caused by a left ventricular pseudoaneurysm in patients deemed unsuitable for surgery.
Clinicians should consider contained LV rupture in late post-surgical angina; leaves open optimal surveillance protocols after cardiac surgery.
This report describes a rare late complication of cardiac surgery presenting as exertional angina caused by dynamic extrinsic compression of the circumflex artery. Multimodality imaging, including coronary angiography, cardiac computed tomography, and transoesophageal echocardiography, identified a mass adjacent to the left ventricular outflow tract, consistent with a contained left ventricular rupture with pseudoaneurysm formation. Comprehensive imaging assessment was essential for diagnostic clarification, exclusion of infection, and therapeutic planning. In a high-risk elderly patient deemed unsuitable for surgery, percutaneous coronary intervention with drug-eluting stent implantation provided effective symptom relief, highlighting the value of tailored, image-guided management in complex structural complications.
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Resende et al. (2026) conducted a case report in Left ventricular pseudoaneurysm causing dynamic coronary compression (n=1). Percutaneous coronary intervention with drug-eluting stent implantation was evaluated on Symptom relief. Percutaneous coronary intervention with drug-eluting stent implantation provided effective symptom relief for dynamic coronary compression caused by a left ventricular pseudoaneurysm.
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