A B
Figure 5- Computed tomography angiography showing a fragment of the
trapped guidewire in right coronary artery (A) and pseudoaneurysm at the
distal end of it (B)
Owing to the risk of a percutaneous intravascular approach, conditioned
by the presence of a pseudoaneurysm, it was removed through transverse
arteriotomy of the carotid artery by a vascular surgeon. The
pseudoaneurysm was removed intraoperatively and a top-to-top anastomosis
between carotid bifurcation and right internal carotid artery was
performed with Prolene 6/0 (figure 6).