Fatal subclavian stent infection remote from implantation.
We report the unusual case of a 66-year-old alcoholic male who presented with acute arm ischemia 4 months following ipsilateral subclavian artery stenting. The patient had a petechial rash and Janeway lesions in the distribution of the affected subclavian artery. He had been treated for an infected dialysis graft 10 days prior to entry into the hospital. Subsequent angiogram confirmed a patent stent with intraluminal filling defects and occlusion of the brachial artery. Thrombectomy yielded material that was consistent with septic emboli and CT scan of the chest was suggestive of a mycotic aneurysm around the stent. The subclavian stent was removed surgically and the aneurysm was repaired. Unfortunately, the patient had multiple comorbidities and died of complications during recovery. This is the first case of a subclavian stent infection following septicemia remote from implantation.
Cardiovascular Research CAMC, Health Education and Research Institute, Robert C. Byrd Health Sciences Center of West Virginia University, Charleston, West Virginia, USA. mark.bates@camc.org
Mark C
MC
Bates
Ammar
A
Almehmi
D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D004452:Echocardiography; D006801:Humans; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality*; D015607:Stents / Q000009:adverse effects*; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed