Rapid expansion of mycotic aneurysm of left coronary sinus of Valsalva causing myocardial ischemia: report of a case

Morimoto, Naoto; Nishioka, Naritomo; Yoshida, Masato; Mukohara, Nobuhiko

doi:10.1007/s11748-014-0410-1

Cited by 4 publications

(1 citation statement)

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“…Clinically, most patients present with non-specific symptoms, such as fever, chills or lethargy. Presentations suggestive of an acute coronary syndrome are usually due to complications of the aneurysm, such as rupture or thrombosis 9 10. Without aggressive management, the prognosis is poor with high morbidity and mortality 10 11.…”

Section: Introductionmentioning

confidence: 99%

Resection of a large mycotic aneurysm of the left anterior descending coronary artery

2019

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A 50-year-old Indigenous woman, on home haemodialysis, was found to have a large mycotic aneurysm of the proximal left anterior descending coronary artery at the site of a previous drug-eluting stent. Blood cultures grew methicillin-sensitive Staphylococcus aureus bacteraemia. She underwent a complex operation involving resection of the mycotic aneurysm, removal of the stent and a coronary artery bypass graft to the distal left anterior descending (LAD) coronary artery using the left internal mammary artery. She had a complicated intensive care unit admission with pericardial tamponade on day 1 postoperatively requiring reopening and removal of clot and type 1 respiratory failure requiring reintubation on day 10 postoperatively. Once extubated, she developed prolonged hyperactive delirium and a significant decline in mobility. Over the course of a 6-week hospital admission, she received extensive multidisciplinary care and was discharged for rehabilitation to a peripheral hospital. She was discharged home after rehabilitation with ongoing follow-up with infectious diseases.

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Section: Introductionmentioning

confidence: 99%