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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Hillary Kusharsamita
Pertamina Central Hospital, South Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Kasus Langka Pseudoaneurisma Arteri Radial Pasca Angiografi Koroner Sidhi Laksono; Hillary Kusharsamita
Majalah Kedokteran Indonesia Vol 74 No 6 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.6-2024-1531

Abstract

Introduction: Radial artery pseudoaneurysm is a rare but potentially severe complication that may occur after coronary angiography. Although uncommon, promptly identifying and addressing the issue is crucial to avoid further complications. Case Report: Here, we describe the case of a 65-year-old female patient who developed a radial artery pseudoaneurysm after undergoing coronary angiography to evaluate her chest discomfort. The diagnosis of a pseudoaneurysm was confirmed by Doppler ultrasonography, which identified a swirling flow pattern. Persistent pain symptoms and ineffective conservative treatment necessitated surgery.Case Discussion: This case highlights the importance of vigilance in identifying rare complications such as radial artery pseudoaneurysm following coronary angiography. Conclusion: Prompt diagnosis and appropriate management strategies, including surgical intervention, when necessary, are crucial for optimal patient outcomes.
A POSSIBLE MODALITY OF INTERVENTION IN A SURGICALLY IMPOSSIBLE CASE OF GIANT CORONARY ANEURYSM: A SUCCESSFUL CASE Sidhi Laksono; Axel Jusuf; Hillary Kusharsamita
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 13 No. 2 (2026): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v13i2.824

Abstract

Giant coronary artery aneurysms (CAAs), defined as dilations exceeding 20 mm or four times the normal artery diameter, are rare clinical entities with limited management guidelines. Most cases are discovered incidentally, but complications can be life-threatening. Treatment remains controversial, with options including medical therapy, percutaneous intervention, and surgery. We report the case of a 64-year-old male with chest pain and high-risk NSTEMI, found to have a de novo giant saccular aneurysm in the mid-left anterior descending artery (LAD) through coronary CT angiography. Coronary angiography confirmed significant LAD and LCX stenosis alongside aneurysmal progression. Surgery was ruled out due to high intraoperative risk. After multidisciplinary deliberation, percutaneous coronary intervention (PCI) using overlapping covered stents was performed, successfully excluding the aneurysm. The patient’s condition stabilized post-procedure, and he was discharged in good condition with continued outpatient follow-up. This case demonstrates that percutaneous intervention with covered stents can be a safe and effective treatment for giant CAAs in select high-risk patients when surgical options are limited. It highlights the role of advanced imaging, intravascular ultrasound, and multidisciplinary decision-making in guiding individualized treatment. Further research is essential to establish optimal management strategies and long-term outcomes for patients with giant CAAs.
Co-Authors Axel Jusuf Sidhi Laksono Sidhi Laksono