[Surgical treatment of mycotic coronary artery aneurysm associated with infective endocarditis: a case report].
53-year-old male was introduced our hospital for treatment of his infective endocarditis and congestive heart failure. Further evaluation revealed massive destruction of the mitral valve and aneurysm of the right coronary artery. We carried out an operation of aneurysmectomy and CABG with RGEA for coronary artery, and MVR using 29 mm SJM valve. Postoperative course was excellent. Graftgram showed good patency and perfusion of RGEA. Pathological findings were 1) macrophage infiltration into thrombi, 2) disappearance of elastic fibers of the media. 3) least atherosclerosis of the intima. We concluded that it was a mycotic coronary artery aneurysm. There have been no report of surgical treatment of such a mycotic coronary artery aneurysm upon our investigation.
Doi
H
H
Cardiovascular Surgical Unit, Hokkaido Ohno Hospital, Sapporo, Japan.
Ohno
T
T
Sasaki
A
A
Sugiki
K
K
Yutani
C
C
D000785:Aneurysm, Infected / Q000150:complications / Q000601:surgery*; D003323:Coronary Aneurysm / Q000150:complications / Q000601:surgery*; D001026:Coronary Artery Bypass; D004697:Endocarditis, Bacterial / Q000150:complications*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery