Work

Stab-Induced Coronary Pseudoaneurysm Managed With Stenting

Year: 2025

Type: article

Abstract: 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.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103280

Authors: Sant Kumar, Samhita Sengupta, Abeeha Naqvi, Hursh Naik

Institutions: Creighton University, St. Joseph's Hospital and Medical Center

Language: English

Topic: Vascular Procedures and Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850