Abstract
A left main coronary artery pseudoaneurysm is rare and the treatment strategies are poorly defined. Herein we report a surgical treatment for a left main coronary artery pseudoaneurysm in a 56-year-old female patient with end-stage renal disease on hemodialysis. Patch angioplasty with a saphenous vein graft was performed for the left main coronary artery pseudoaneurysm following percutaneous coronary intervention with a rotablator. She underwent a living renal transplantation one year after surgery and then has been doing well these 2 years.