The Unholy Trinity: A Hybrid PCI Approach for Left Main Pseudoaneurysm, In-Stent Restenosis, and Acute Myocardial Infarction
Gabriele Pavani·Ferdinando Varbella·Enrico Cerrato·Pavani Marco·Rolfo Cristina·Francesco Tomassini·Alessandra Chinaglia·Alfonso Franzè·Greca Zanda·Piedimonte Giulio·Simone Zecchino
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.