Figure 4- Intraoperative transesophageal ecocardiography showing a hyperechogenic filamental structure along the ascending aorta
After remotion of the distal portion of the trapped guidewire through pericardial space , it was decided to perform an Computed tomography angiography that shown a foreign body (extension of 6 centimeters) in internal right carotid artery, associated with a pseudoaneurysm at the distal end of it (figure 5)