alexa Traumatic Pseudoaneurysm of Left Anterior Descending Artery Caused by Thoracic Stab Wound Treated with Coil
ISSN: 2329-9517

Journal of Cardiovascular Diseases & Diagnosis
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Case Report

Traumatic Pseudoaneurysm of Left Anterior Descending Artery Caused by Thoracic Stab Wound Treated with Coil

Ata Firozi1*, Omid Shafee2, Aliasghar Farsavian2, Hamidreza Sanati1, Farshad Shakerian1, Reza Kiani1, Ali Zahedmehr1 and Mona Heidarali3
1Associate Professor of Cardiology, Intervention research center, Rajaie Cardiovascular, Medical and Research Center, Iran university of Medical Sciences, Tehran, Iran
2Fellow of intervention, Intervention research center, Rajaie Cardiovascular, Medical and Research Center, Iran university of Medical Sciences, Tehran, Iran
3Cardiac Electrophysiology Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of medical sciences, Tehran, Iran
Corresponding Author : Ata Firozi
Intervention research center, Rajaie Cardiovascular, Medical and Research Center
Iran University of medical sciences, Tehran, Iran
Tel: 0098021-23923017
E-mail: [email protected]
Received June 26, 2014; Accepted August 27, 2014; Published September 03, 2014
Citation: Firozi A, Shafee O, Farsavian A, Sanati H, Shakerian F, et al. (2014) Traumatic Pseudoaneurysm of Left Anterior Descending Artery Caused by Thoracic Stab Wound Treated with Coil. J Cardiovasc Dis Diagn 2: 173. doi: 10.4172/2329-9517.1000173
Copyright: © 2014 Firozi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Trauma is one of the most common causes of death worldwide. Penetrating cardiac injury (PCI) is highly lethal and represents an increasingly important form of traumatic injury. We describe a 25 year-old man suffered stab wound and PCI, as a result of which he underwent surgical thoracotomy for tamponade. He was discharged in good clinical condition and no cardiac perforation was detected. Two weeks later, he presented to our center with prolonged chest pain. Electrocardiography (ECG) and cardiac biomarkers confirmed myocardial damage. Echocardiography showed hypokinesia and thinning (0.6 mm) of the inferoapical wall segment and mildly reduced left ventricular systolic function. Angiography revealed patent left main coronary artery, LAD, left circumflex, and right coronary artery, along with an abnormal aneurysmal structure at the distal part of the LAD. Coil embolization of the distal LAD pseudoaneurysm was performed which was placed to occlude the proximal entry site of the pseudoaneurysm. Angiography confirmed the disappearance of the pseudoaneurysm. The patient was discharged after 48 hours. Follow-up angiography after two months showed no residual leakage across the vessel. Coil embolization of a distal coronary pseudoaneurysm can be performed as an alternative procedure instead of surgical ligation of the small vessels, with good results. It should be emphasized that one should occlude both proximal and distal entry sites to avoid blood leakage.

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