{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T01:59:00Z","timestamp":1785290340429,"version":"3.55.0"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Coronary pseudoaneurysms are rare but potentially life\u2010threatening complications following coronary interventions. Their management presents significant technical challenges, particularly in frail patients with contraindications to surgery. This report describes the sequential percutaneous management of a giant acquired coronary pseudoaneurysm in a 74\u2010year\u2010old male with several comorbidities, including atrial fibrillation, aortic stenosis, and contraindication for open\u2010heart surgery. Exclusion was achieved using covered stents, followed by left atrial appendage closure to allow withdrawal of anticoagulation. Moreover, during follow\u2010up, transcatheter aortic valve implantation (TAVI) was performed due to severe symptomatic aortic stenosis. This case represents one of the largest coronary pseudoaneurysms reported in the literature and highlights the feasibility of an integrated imaging\u2010guided percutaneous approach for the management of giant coronary pseudoaneurysms in high\u2010risk patients. Left atrial appendage closure may have facilitated pseudoaneurysm thrombosis by enabling safe discontinuation of long\u2010term anticoagulation, a hypothesis that warrants further investigation.<\/jats:p>","DOI":"10.1002\/ccd.70769","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T01:20:21Z","timestamp":1785288021000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stepwise Percutaneous Management of a Giant Coronary Pseudoaneurysm"],"prefix":"10.1002","author":[{"given":"Carmen","family":"Lluch\u2010Requerey","sequence":"first","affiliation":[{"name":"Cardiology Department University Hospital Juan Ramon Jimenez  Huelva Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e9lix","family":"Rosa\u2010Longobardo","sequence":"additional","affiliation":[{"name":"Cardiology Department University Hospital Juan Ramon Jimenez  Huelva Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Roa\u2010Garrido","sequence":"additional","affiliation":[{"name":"Cardiology Department University Hospital Juan Ramon Jimenez  Huelva Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Enrique G\u00f3mez","family":"Menchero","sequence":"additional","affiliation":[{"name":"Cardiology Department University Hospital Juan Ramon Jimenez  Huelva Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26997"},{"issue":"12","key":"e_1_2_9_3_1","first-page":"1310","article-title":"Coronary Pseudoaneurysm After Drug\u2010Eluting Stent Implantation: A Systematic Review","volume":"5","author":"Alfonso F.","year":"2012","journal-title":"JACC: Cardiovascular Interventions"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.12530"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytac079"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29312"},{"issue":"7","key":"e_1_2_9_7_1","first-page":"731","article-title":"Coronary Artery Aneurysms and Pseudoaneurysms After Drug\u2010Eluting Stent Implantation","volume":"6","author":"Latib A.","year":"2011","journal-title":"EuroIntervention"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70769","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70769","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70769","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T01:20:22Z","timestamp":1785288022000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":6,"alternative-id":["10.1002\/ccd.70769"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70769","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"2025-08-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ccd.70769"}}