Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management
66yrs old, Male, presented to our hospital with history of low-grade fever of one month duration. Only significant past history was right coronary artery (RCA)stenting done a year ago. Physical examination no localizing signs of fever. Blood culture identified pseudomonas aeruginosa. Electrocardiogr...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | IHJ Cardiovascular Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468600X23000245 |
| _version_ | 1797792565543567360 |
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| author | Palled Santosh Christopher Johann Punna Praveen kumar Rama Subramanyam G Khanapur Raghavendra |
| author_facet | Palled Santosh Christopher Johann Punna Praveen kumar Rama Subramanyam G Khanapur Raghavendra |
| author_sort | Palled Santosh |
| collection | DOAJ |
| description | 66yrs old, Male, presented to our hospital with history of low-grade fever of one month duration. Only significant past history was right coronary artery (RCA)stenting done a year ago. Physical examination no localizing signs of fever. Blood culture identified pseudomonas aeruginosa. Electrocardiogram (ECG) showed old inferior wall myocardial infarction changes. Echocardiography (ECHO) detected myocardial abscess along the right atrioventricular groove and vegetation on tricuspid valve. Coronary angiogram showed totally occluded and infected RCA stent with formation of coronary cameral fistula, draining into right atrium. A positron emission tomography (PET) scan and a computed tomography (CT) scan showed increased tracer uptake in RCA stent, peri-stent abscess. Infected stent, artery, and vegetation removed surgically, then graft given to distal RCA. The multi-diagnostic modality helped in identifying this condition early. Timely surgical intervention helped the patient to recover in otherwise life-threatening complication. |
| first_indexed | 2024-03-13T02:35:52Z |
| format | Article |
| id | doaj.art-012ace29743c47cfa8b084be69a32fa4 |
| institution | Directory Open Access Journal |
| issn | 2468-600X |
| language | English |
| last_indexed | 2024-03-13T02:35:52Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IHJ Cardiovascular Case Reports |
| spelling | doaj.art-012ace29743c47cfa8b084be69a32fa42023-06-29T04:14:32ZengElsevierIHJ Cardiovascular Case Reports2468-600X2023-04-01725860Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and managementPalled Santosh0Christopher Johann1Punna Praveen kumar2Rama Subramanyam G3Khanapur Raghavendra4Department of Cardiology, CARE Hospital Banjara Branch, Road 1, Banjara Hills, Hyderabad, 500034, India; Corresponding author.Department of Cardiology, CARE Hospital Banjara Branch, Road 1, Banjara Hills, Hyderabad, 500034, IndiaDepartment of Cardiology, CARE Hospital Banjara Branch, Road 1, Banjara Hills, Hyderabad, 500034, IndiaDepartment of Cardiothoracic Surgery, CARE Hospital Banjara Branch, Road 1, Banjara Hills, Hyderabad, 500034, IndiaDepartment of Medicine, Al Ameen Medical College and Hospital, Vijayapura, Karnataka, 586108, India66yrs old, Male, presented to our hospital with history of low-grade fever of one month duration. Only significant past history was right coronary artery (RCA)stenting done a year ago. Physical examination no localizing signs of fever. Blood culture identified pseudomonas aeruginosa. Electrocardiogram (ECG) showed old inferior wall myocardial infarction changes. Echocardiography (ECHO) detected myocardial abscess along the right atrioventricular groove and vegetation on tricuspid valve. Coronary angiogram showed totally occluded and infected RCA stent with formation of coronary cameral fistula, draining into right atrium. A positron emission tomography (PET) scan and a computed tomography (CT) scan showed increased tracer uptake in RCA stent, peri-stent abscess. Infected stent, artery, and vegetation removed surgically, then graft given to distal RCA. The multi-diagnostic modality helped in identifying this condition early. Timely surgical intervention helped the patient to recover in otherwise life-threatening complication.http://www.sciencedirect.com/science/article/pii/S2468600X23000245Coronary stent infection (CSI)Pyrexia of unknown origin (PUO)Myocardial abscessCoronary cameral fistulaPET-CT |
| spellingShingle | Palled Santosh Christopher Johann Punna Praveen kumar Rama Subramanyam G Khanapur Raghavendra Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management IHJ Cardiovascular Case Reports Coronary stent infection (CSI) Pyrexia of unknown origin (PUO) Myocardial abscess Coronary cameral fistula PET-CT |
| title | Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management |
| title_full | Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management |
| title_fullStr | Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management |
| title_full_unstemmed | Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management |
| title_short | Rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis: Diagnosis and management |
| title_sort | rare case of very late coronary stent infection with resultant coronary cameral fistula and infective endocarditis diagnosis and management |
| topic | Coronary stent infection (CSI) Pyrexia of unknown origin (PUO) Myocardial abscess Coronary cameral fistula PET-CT |
| url | http://www.sciencedirect.com/science/article/pii/S2468600X23000245 |
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