Key result
Percutaneous coronary intervention with covered stents was used to treat a symptomatic large left main pseudoaneurysm resulting from spontaneous coronary artery dissection in a young woman.
Case Report (n=1)
Demonstrates the feasibility of using customized covered stents for the percutaneous treatment of a large left main pseudoaneurysm.
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Supports covered stent PCI for rare left main pseudoaneurysms post-SCAD; hypothesis-generating, requires prospective validation before wider use.
Left main pseuodaneurysm is a rare entity and is one of the potentially lethal consequences of coronary artery dissection. We describe a case of a young woman who almost a week after her delivery developed spontaneous left main dissection, manifested as acute anterior myocardial infarction. Left on medical treatment alone over a month, spontaneous dissection progressed to symptomatic large left main pseuodaneurysm, which was treated percutaneously with covered stents.
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Dhakam et al. (2011) conducted a case report in Left main pseudoaneurysm / spontaneous coronary artery dissection (n=1). Percutaneous coronary intervention with covered stents was evaluated. Percutaneous coronary intervention with covered stents was used to treat a symptomatic large left main pseudoaneurysm resulting from spontaneous coronary artery dissection in a young woman.
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