Presentation
Chest pain and new onset atrial flutter.
Patient Data
CT angiography of the thorax demonstrates a focal discontinuity of the proximal right coronary artery stent. There is an adjacent contrast-filled outpouching arising from the RCA within the right atrioventricular groove measuring 3.1 x 3.0 cm. The vascular lesion demonstrates a narrow collar, compatible with a pseudoaneurysm.
Additional findings of large-volume hyperattenuating pericardial effusion compatible with hemopericardium.
Case Discussion
The patient subsequently underwent surgical repair of the right coronary artery (RCA) pseudoaneurysm along with a coronary artery bypass graft with right internal mammary artery anastomosis to the RCA. Additional complete decortication and removal of organized hemopericardium.
Unable to process the form. Check for errors and try again.