Mycotic aneurysm of the proximal LAD successfully excluded with covered stents

Ruptured giant left anterior descending coronary artery pseudoaneurysm

“…Based on our present case, we suggest that sepsis and infection may also predispose patients to this pathology. Indeed, the LAD pseudoaneurysm, in this case, may have been mycotic in origin 5–9 . This is evidenced by our patient displaying signs of sepsis preoperatively (high fevers, elevated white blood cell counts, and positive blood cultures for S. aureus ).…”

“…Indeed, the LAD pseudoaneurysm, in this case, may have been mycotic in origin. [5][6][7][8][9] This is evidenced by our patient displaying signs of sepsis preoperatively (high fevers, elevated white blood cell counts, and positive blood cultures for S. aureus). Furthermore, direct microbiological analysis of the intraoperative pseudoaneurysm and stent tissue revealed growth of Bacillus species; these organisms have previously been shown to cause largevessel arterial mycotic aneurysms.…”