Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula
Coronary stent infection (CSI) is a rare but potentially life-threatening disease, the incidence of which has been on a rise over the past 2 decades. Surgery seems the treatment of choice, providing a definitive diagnosis of CSI and removing the source of infection, repairing aneurysms, and providin...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | JACC: Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084923004539 |
| _version_ | 1797627102424465408 |
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| author | Dhiren Shah, MCh Kishore Gupta, DNB Dhaval Naik, DNB Niren Bhavsar, MD |
| author_facet | Dhiren Shah, MCh Kishore Gupta, DNB Dhaval Naik, DNB Niren Bhavsar, MD |
| author_sort | Dhiren Shah, MCh |
| collection | DOAJ |
| description | Coronary stent infection (CSI) is a rare but potentially life-threatening disease, the incidence of which has been on a rise over the past 2 decades. Surgery seems the treatment of choice, providing a definitive diagnosis of CSI and removing the source of infection, repairing aneurysms, and providing bypass vascular grafts if feasible. Thorough evaluation and a multidisciplinary approach lead to detection and a better outcome. We report a patient who presented with symptoms of heart failure and shock, who received a diagnosis of CSI complicated by empyema with pleuropericardial fistula. He was treated by stent removal and decortication. (Level of Difficulty: Advanced.) |
| first_indexed | 2024-03-11T10:19:36Z |
| format | Article |
| id | doaj.art-5aaf49add34740ac969b367366ac20f7 |
| institution | Directory Open Access Journal |
| issn | 2666-0849 |
| language | English |
| last_indexed | 2024-03-11T10:19:36Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj.art-5aaf49add34740ac969b367366ac20f72023-11-16T06:10:54ZengElsevierJACC: Case Reports2666-08492023-12-0128102117Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial FistulaDhiren Shah, MCh0Kishore Gupta, DNB1Dhaval Naik, DNB2Niren Bhavsar, MD3Department of Cardiac Surgery, Marengo CIMS Hospital, Ahmedabad, IndiaDepartment of Cardiac Surgery, Marengo CIMS Hospital, Ahmedabad, India; Address for correspondence: Dr Kishore Gupta, Department of Cardiac Surgery, Marengo CIMS Hospital, Science City Road, Ahmedabad, India.Department of Cardiac Surgery, Marengo CIMS Hospital, Ahmedabad, IndiaDepartment of Anaesthesia, Marengo CIMS Hospital, Ahmedabad, IndiaCoronary stent infection (CSI) is a rare but potentially life-threatening disease, the incidence of which has been on a rise over the past 2 decades. Surgery seems the treatment of choice, providing a definitive diagnosis of CSI and removing the source of infection, repairing aneurysms, and providing bypass vascular grafts if feasible. Thorough evaluation and a multidisciplinary approach lead to detection and a better outcome. We report a patient who presented with symptoms of heart failure and shock, who received a diagnosis of CSI complicated by empyema with pleuropericardial fistula. He was treated by stent removal and decortication. (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084923004539coronary stent infectionempyemapleuropericardial fistularight coronary artery stent |
| spellingShingle | Dhiren Shah, MCh Kishore Gupta, DNB Dhaval Naik, DNB Niren Bhavsar, MD Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula JACC: Case Reports coronary stent infection empyema pleuropericardial fistula right coronary artery stent |
| title | Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula |
| title_full | Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula |
| title_fullStr | Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula |
| title_full_unstemmed | Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula |
| title_short | Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula |
| title_sort | late presentation of right coronary artery stent infection as left empyema and pleuropericardial fistula |
| topic | coronary stent infection empyema pleuropericardial fistula right coronary artery stent |
| url | http://www.sciencedirect.com/science/article/pii/S2666084923004539 |
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