Aneurisma coronariano micótico: relato de dois casos

García, Franco Javier Vallejo; Eusse, Carlos; Tenorio, Carlos; Uribe, Carlos E.

doi:10.1590/s0066-782x2011001400015

Cited by 3 publications

(2 citation statements)

References 2 publications

(2 reference statements)

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“…A embolização pode levar à formação de aneurisma micótico como observado na artéria hepática dessa paciente, que, por sua vez, pode causar obstrução das vias biliares e resultar em colestase. O aneurisma pode romper, levando a hemorragias internas ou causar obstruções, como visto neste caso (GARCIA et al, 2011).…”

Section: Resultsunclassified

Cardiologia Teoria e Prática - Edição XIV

Barroso L. de Freitas,

Sobreira Ferraz Egidio,

Augusto Camargo Moreira

et al. 2024

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Section: Resultsunclassified

Cardiologia Teoria e Prática - Edição XIV

Barroso L. de Freitas,

Sobreira Ferraz Egidio,

Augusto Camargo Moreira

et al. 2024

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“…Fortunately, this case was diagnosed on time and successfully managed before the occurrence of any severe complications or rupture of the aneurysm. Unfortunately, there are some reports available of patient's expiry, even after therapeutic measurements, mainly because of the challenging management of coronary artery rupture ( 8 , 13 ).…”

Section: Discussionmentioning

confidence: 99%

Coronary artery mycotic aneurysm in a patient suffering from subacute endocarditis: a case report and literature review

Hali

Sharifkazemi

Yaminisharif

et al. 2023

Front. Cardiovasc. Med.

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Although mycotic aneurysm is a known and important disease in the cerebrovascular system, especially the brain, there are scarce reports about coronary artery mycotic aneurysms (CAMA). CAMA can occur not only in the context of endocarditis but also as a rare adverse event of coronary artery stenting, which has been used more extensively in recent years. Accordingly, it is essential to pay greater attention to its associated presentations and clinical course. Considering the scant evidence available, reporting the disease course of each patient with CAMA can help increase the physician's knowledge about this condition, which is why we are reporting this case. A 42-year-old man with diabetes was referred to our center with embolic left cerebellar infarction 3 months earlier, as well as a 2-month history of feverishness before his referral. His blood culture was positive for Viridans Streptococci, and he had paraclinical signs of inflammation and two- and three-dimensional transthoracic and transesophageal echocardiography (2D & 3D TTE and TEE) signs of aortic and mitral valves' infective endocarditis with the destruction of the aortic valve, severe aortic and mitral regurgitation, severe pulmonary hypertension, and moderate biventricular systolic dysfunction. Regarding the obviously dilated left main coronary artery on TEE images, contrast-enhanced chest multidetector computed tomography was performed for better assessment of coronary arteries with suspicion of CAMA, which confirmed aneurysmal dilatation of the proximal left main coronary artery. The presence of bacteria was confirmed on staining the valvular tissue, resected during the surgical replacement of aortic and mitral valves. As the cardiac surgeon considered CAMA resection and coronary bypass grafting high risk for the patient, he received parenteral antibiotic therapy, for 6 weeks. At 1-year follow-up, he was doing well with no signs/symptoms of endocarditis and well-functioning mechanical prosthetic valves. This case shows the significance of considering CAMA in the setting of endocarditis, resistant to medical and/or surgical therapy or in patients with coronary aneurysm, simultaneous with active endocarditis. Therefore, more attention should be paid to this extravalvular complication of endocarditis, and its possibility should be considered and investigated in any patient presented with valvular endocarditis, especially involving the aortic valve.

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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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Aneurisma coronariano micótico: relato de dois casos

Cited by 3 publications

References 2 publications

Cardiologia Teoria e Prática - Edição XIV

Cardiologia Teoria e Prática - Edição XIV

Coronary artery mycotic aneurysm in a patient suffering from subacute endocarditis: a case report and literature review

Mycotic coronary aneurysms

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