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).