A case of ruptured infective coronary artery aneurysm

Sugiyama, Kayo; Matsuyama, Katsuhiko; Maruno, Keita; Takahashi, Satoshi; Kurabayashi, Masahiko; Nagashima, Rena; Ogino, Hitoshi

doi:10.1186/s40792-017-0347-6

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…While coronary stent graft and coil embolization are considered to be percutaneous interventions, ligation, resection, or marsupialization with an interposition graft are classified as surgical procedures (1,5,6). In previous reports, physicians attending to cases complicated by infective endocarditis generally opted for surgical treatment (7)(8)(9)(10). In the present case, although we first considered a surgical approach, including debridement, aneurysm excision, stent removal, and coronary bypass, upon further consideration, we believed stent removal to be impractical, since multiple stents had become completely implanted, starting at the LMT and progressing to the LAD and LCX.…”

Section: Discussionmentioning

confidence: 99%

Stent Fracture Induced Infected Pseudo Coronary Artery Aneurysm with Massive Abscess Successfully Treated by Coronary Stent Graft

2021

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Infected pseudo coronary artery aneurysm (CAA) is extremely rare, and currently, there is no established treatment. We experienced a rare case of an infected pseudo CAA brought on due to a stent fracture. Following prolonged successful antimicrobial administration, which proved effective in successfully treating the patient, we performed coronary stent graft placement. Although a surgical procedure should fundamentally be the first course of action considered in such cases, when there are concerns as to the degree of invasiveness, our strategy represents a viable option.

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Section: Discussionmentioning

confidence: 99%

Stent Fracture Induced Infected Pseudo Coronary Artery Aneurysm with Massive Abscess Successfully Treated by Coronary Stent Graft

2021

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Infected (“Mycotic”) coronary artery aneurysm: Systematic review

Restrepo¹,

Gonzalez²,

Baxi³

et al. 2020

Journal of Cardiovascular Computed Tomography

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Mycotic coronary aneurysms

Buono

Maloberti

Bossi³

et al. 2019

Journal of Cardiovascular Medicine

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Mycotic coronary aneurysm is a rare infective disease of arterial vessel walls. Their development could be linked to the presence of an infective endocarditis or could represent a primary infection at the site of an implanted intracoronary stent. Bacterial agents, particularly Staphylococcus aureus, are the most common etiological agents. Due to an aspecific clinical presentation and examination, diagnosis could be challenging. Multiple imaging techniques (both invasive and noninvasive) are often required to reach the final diagnosis. Prognosis is characterized by high morbidity and mortality rates and, in fact, a tempestive treatment is required, although, to date, scanty data concerning the optimal treatment choice are present in literature.

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A case of ruptured infective coronary artery aneurysm

Cited by 3 publications

References 12 publications

Stent Fracture Induced Infected Pseudo Coronary Artery Aneurysm with Massive Abscess Successfully Treated by Coronary Stent Graft

Stent Fracture Induced Infected Pseudo Coronary Artery Aneurysm with Massive Abscess Successfully Treated by Coronary Stent Graft

Infected (“Mycotic”) coronary artery aneurysm: Systematic review

Mycotic coronary aneurysms

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