The Unholy Trinity: A Hybrid PCI Approach for Left Main Pseudoaneurysm, In-Stent Restenosis, and Acute Myocardial Infarction

Highlights: Iatrogenic LMCA pseudoaneurysm from in-stent restenosis is extremely rare. This is the first report of this specific complication presenting as STEMI. A hybrid technique using coils and drug-eluting stent proved successful. OCT imaging confirmed complete aneurysm sealing and optimal stent result.

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Publication Details

Journal
The American Journal of Cardiology
Published
2026-03-01
DOI
https://doi.org/10.1016/j.amjcard.2026.03.048
Primary Topic
Cardiac Structural Anomalies and Repair
Type
article
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article

The Unholy Trinity: A Hybrid PCI Approach for Left Main Pseudoaneurysm, In-Stent Restenosis, and Acute Myocardial Infarction

Greca Zanda, Simone Zecchino, Gabriele Pavani, Enrico Cerrato et al.
The American Journal of Cardiology
Cardiac Structural Anomalies and Repair
article

The Unholy Trinity: A Hybrid PCI Approach for Left Main Pseudoaneurysm, In-Stent Restenosis, and Acute Myocardial Infarction

Greca Zanda, Simone Zecchino, Gabriele Pavani, Enrico Cerrato, Pavani Marco, Rolfo Cristina, Francesco Tomassini, Ferdinando Varbella, Alessandra Chinaglia, Alfonso Franzè, Piedimonte Giulio
article en

Abstract

Highlights: Iatrogenic LMCA pseudoaneurysm from in-stent restenosis is extremely rare. This is the first report of this specific complication presenting as STEMI. A hybrid technique using coils and drug-eluting stent proved successful. OCT imaging confirmed complete aneurysm sealing and optimal stent result.

The American Journal of Cardiology
Ospedale di Rivoli (IT), Ospedale degli Infermi (IT), Ospedale San Luigi Gonzaga (IT), University of Turin (IT)
Good health and well-being
Openalex Percentile: Top 5%
Cardiac Structural Anomalies and Repair
DOIOpen Access PDFOpenAlex
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