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

Key Points

• To address the rare complication of iatrogenic left main coronary artery pseudoaneurysm due to in-stent restenosis presenting as STEMI.
• Utilized a hybrid technique involving coils and a drug-eluting stent.
• Applied OCT imaging to assess the effectiveness of the procedure.
• Conducted follow-up assessments to evaluate outcomes.
• Achieved complete sealing of the aneurysm.
• Confirmed optimal stent results through imaging.
• Demonstrated successful management of a rare clinical presentation.