A pseudoaneurysm of the left atrium as a rare source of coronary artery embolization

• DOI: 10.1111/echo.14798
• Publication Date: 2020-07-26T11:54:55Z
• Authors: Reza Mohseni Bada...; Mohammad Sahebjam; Hamidreza Poorhos...; Yaser Jenab; Marjan Haddadi; Behnam Hedayat
• Keywords: Pseudoaneurysm; TIMI; Interatrial septum

Abstract A 67 years old woman with history of surgical Mitral valve replacement underwent transoesophageal echocardiography for evaluation mild dyspnoea. It revealed a large narrow‐necked outpouching from medial portion the inferior wall left atrium (LA) that was extended to interatrial septum. diagnosis LA pseudoaneurysm made. contained fresh clot. Five days later, patient presented an acute ST‐elevation myocardial infarction. Coronary angiography occluded right coronary artery at its distal part by thrombus. Thromboaspiration done and resulted in restoration Thrombolysis Myocardial Infarction Score (TIMI) flow 3 without underlying stenosis.