Fatal infection of coronary stent implantation.
Among systemic infections occurring after percutaneous transluminal coronary angioplasty (PTCA) and coronary stent implantation, septic cardiac complications are rare. We report a new case of infective aneurysm of the left anterior descending coronary artery (LAD) following stent implantation. Infective mitral endocarditis due to Pseudomonas aeruginosa occurring a few weeks after stenting led to search for stent infection. Coronary angiography revealed a saccular aneurysm of the LAD. Despite surgical repair, a fatal outcome resulted.
Leroy
O
O
Intensive Care and Infectious Diseases Unit, Lille University Medical School, Tourcoing, France.
Martin
E
E
Prat
A
A
Decoulx
E
E
Georges
H
H
Guilley
J
J
Beuscart
C
C
Beaucaire
G
G
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D000900:Anti-Bacterial Agents; D016470:Bacteremia / Q000175:diagnosis / Q000209:etiology*; D003323:Coronary Aneurysm / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis / Q000628:therapy*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D015607:Stents / Q000009:adverse effects*
D000900:Anti-Bacterial Agents