EuroPCR2026-images-103157-Stranger-things-CathLab

What is the diagnosis?

Chronic total occlusion of the RCA due to progressive atherosclerosis

Direct RCA injury during prior pericardiocentesis causing pathological arterial damage

Diffuse coronary ectasia of the RCA without focal injury

Correct! The correct answer is "Direct RCA injury during prior pericardiocentesis causing pathological arterial damage".

Patient underwent emergency pericardiocentesis in the cath lab; ~2 liters of blood were aspirated. Emergency CABG revealed needle injury of the RCA. Six months later she presented with unstable angina; angiography showed an RCA lesion. Pharmacotherapy was prescribed.

Good try! The correct answer is "Direct RCA injury during prior pericardiocentesis causing pathological arterial damage".

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