EuroPCR2024-images-A51924SI-An unusual complication of STEMI in a patient with unique coronary arteries

What is the diagnosis?
Aneurysmal RCA occluded by a massive thrombus and perforated by the guidewire
Aneurysmal RCA occluded by a massive thrombus with fistula into the right atrium
Aneurysmal RCA occluded by a massive thrombus and perforated by the guide catheter
Correct! The correct answer is "Aneurysmal RCA occluded by a massive thrombus and perforated by the guide catheter"
 
Coronary angiography showed an aneurysmal RCA occluded by a massive thrombus. During PCI, the guide catheter penetrated the proximal RCA, causing severe perforation, tamponade and the patient's death.
Good try! The correct answer is "Aneurysmal RCA occluded by a massive thrombus and perforated by the guide catheter"
 
Coronary angiography showed an aneurysmal RCA occluded by a massive thrombus. During PCI, the guide catheter penetrated the proximal RCA, causing severe perforation, tamponade and the patient's death.
 
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