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Right coronary artery pseudoaneurysm post everolimus eluting stent implantation causing tamponade
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  1. Niraj Nirmal Pandey,
  2. Arun Sharma,
  3. Sanjeev Kumar
  1. Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Niraj Nirmal Pandey, nirajpandey2403{at}gmail.com

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A 49-year-old man with triple vessel coronary artery disease underwent percutaneous coronary intervention. The right coronary artery (RCA) was treated with two platinum chromium everolimus-eluting stents (Promus Stent; Boston Scientific, Natick, Massachusetts, USA); 3.5×16 mm in proximal RCA and 3.5×38 mm in mid-to-distal RCA, respectively, with stenting of the left anterior descending (LAD) artery and first obtuse marginal artery (OM1) as well.

The patient was readmitted a month later with chest pain and dyspnoea on exertion. On examination, the patient had tachycardia, elevated jugular venous pressures and mild hypotension. A catheter angiogram revealed a small pseudoaneurysm arising from the RCA with occluded mid RCA stent. In view of disproportionately severe symptoms compared with the size of the pseudoaneurysm and to delineate the anatomy of the pseudoaneurysm for planning management, a coronary …

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