CORONARY PSEUDOANEURYSM AFTER ANGIOPLASTY

Coronary pseudoaneurysm is a complication of angioplasty occurring in 4-5% of cases. The likely etiology of the pseudoaneurysm is an iatroge nic dissection. Although increasingly identified, they are infrequentl y reported and no large series has been documented. The case of a 64-y ear-old patient with a post-PTCA coronary pseudoaneurysm that was trea ted surgically is presented. A review of the world's literature identi fies stenosis as a major cofactor in operative intervention and raises the possibility that aneurysm formation promotes stenosis.