Stab-Induced Coronary Pseudoaneurysm Managed With Stenting

Penetrating chest trauma, while uncommon in adolescents, can lead to severe complications, including coronary artery injuries. A 16-year-old adolescent boy presented with chest pain after a stab wound. Initial imaging revealed a hemothorax, which was treated with a chest tube. Recurrent symptoms led to further investigation, uncovering 2 pseudoaneurysms in the left anterior descending artery. The patient underwent successful coronary stenting, with marked improvement at 1-year follow-up. This case highlights the importance of multimodal imaging, including coronary computed tomography angiography, in diagnosing traumatic coronary injuries. The use of covered stents for pseudoaneurysms in the left anterior descending artery after penetrating trauma is a rare but effective treatment.