Mycotic aneurysm of the left coronary artery.
We report a 24-year-old man with mitral valve endocarditis complicated by acute myocardial infarction due to coronary embolism. Percutaneous transluminal coronary angioplasty and subsequent mitral valve replacement were performed. Postoperative coronary angiography revealed formation of a mycotic aneurysm of the left anterior descending coronary artery at the site of balloon inflation. The patient then underwent successful resection of the aneurysm with coronary artery bypass grafting.
Matsumoto
M
M
Department of Cardiovascular Surgery, Wakayama Red Cross Hospital, Japan.
Konishi
Y
Y
Miwa
S
S
Minakata
K
K
D000328:Adult; D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003323:Coronary Aneurysm / Q000209:etiology* / Q000601:surgery; D001026:Coronary Artery Bypass; D004696:Endocarditis / Q000150:complications; D006801:Humans; D008297:Male; D008943:Mitral Valve; D009203:Myocardial Infarction / Q000209:etiology