Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty
Coronary artery stent infection has been reported with both bare metal stent and drug eluting stent and can present as mycotic coronary artery aneurysm, pseudoaneurysm, myocardial abscess, pericarditis or exudative effusion. Infection at the site of coronary stent implantation is rare and is believe...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-09-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483216303777 |
| _version_ | 1818999531920949248 |
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| author | Pankaj Aggarwal Pravin Saxena Anil Bhan |
| author_facet | Pankaj Aggarwal Pravin Saxena Anil Bhan |
| author_sort | Pankaj Aggarwal |
| collection | DOAJ |
| description | Coronary artery stent infection has been reported with both bare metal stent and drug eluting stent and can present as mycotic coronary artery aneurysm, pseudoaneurysm, myocardial abscess, pericarditis or exudative effusion. Infection at the site of coronary stent implantation is rare and is believed to result typically from either direct stent contamination at the time of delivery or transient bacteraemia from access site. Introduction of drug-eluting stent (DES) has led to a marked reduction in the problem of in-stent restenosis across all patient subsets and lesions complexities. Recently, several case reports of pseudoaneurysm formation after DES implantation have been reported in the literature. We describe the successful surgical management of giant mycotic pseudoaneurysm of left anterior descending artery (LAD) presenting as fever of unknown origin. This report illustrates the importance of early detection and prompt management of these rare coronary pseudoaneurysms, which is a highly lethal condition. |
| first_indexed | 2024-12-20T22:18:55Z |
| format | Article |
| id | doaj.art-4d96151cee504cc99b7f7149ad5fb5ba |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-20T22:18:55Z |
| publishDate | 2016-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-4d96151cee504cc99b7f7149ad5fb5ba2022-12-21T19:24:58ZengElsevierIndian Heart Journal0019-48322016-09-0168S2S44S4610.1016/j.ihj.2016.08.006Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplastyPankaj AggarwalPravin SaxenaAnil BhanCoronary artery stent infection has been reported with both bare metal stent and drug eluting stent and can present as mycotic coronary artery aneurysm, pseudoaneurysm, myocardial abscess, pericarditis or exudative effusion. Infection at the site of coronary stent implantation is rare and is believed to result typically from either direct stent contamination at the time of delivery or transient bacteraemia from access site. Introduction of drug-eluting stent (DES) has led to a marked reduction in the problem of in-stent restenosis across all patient subsets and lesions complexities. Recently, several case reports of pseudoaneurysm formation after DES implantation have been reported in the literature. We describe the successful surgical management of giant mycotic pseudoaneurysm of left anterior descending artery (LAD) presenting as fever of unknown origin. This report illustrates the importance of early detection and prompt management of these rare coronary pseudoaneurysms, which is a highly lethal condition.http://www.sciencedirect.com/science/article/pii/S0019483216303777Mycotic coronary artery aneurysm |
| spellingShingle | Pankaj Aggarwal Pravin Saxena Anil Bhan Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty Indian Heart Journal Mycotic coronary artery aneurysm |
| title | Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty |
| title_full | Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty |
| title_fullStr | Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty |
| title_full_unstemmed | Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty |
| title_short | Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty |
| title_sort | successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty |
| topic | Mycotic coronary artery aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S0019483216303777 |
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