Non-invasive follow-up of a coronary artery pseudoaneurysm after percutaneous transluminal coronary rotational atherectomy (PTCRA).

Percutaneous transluminal coronary rotational atherectomy (PTCRA) is an established treatment forvery calcified and/or undilatable coronary lesions. In contrast to data from directional coronary atherectomy (DCA) procedures, coronary artery aneurysms (CAA) or pseudoaneurysms have not routinely been described as a complication after PTCRA. We present a case of a 74-year-old patient, with a major CAA, found on a routine control coronary angiogram 4 months after a PTCRA of LAD complicated by a coronary perforation. A conservative management guided by coronary CT angiography is proposed.