title: Infectious ductal aneurysm after coil embolization in an infant.
abstract: We report a case of ductal aneurysm after transcatheter coil embolization in an infant. The aneurysm was asymptomatic and was not detected until it ruptured during surgical intervention. We suspect that the aneurysm was induced by methicillin-resistant Staphylococcus aureus infection, as the resected aneurysmal wall was severely infiltrated by inflammatory cells and the patient had recurrent methicillin-resistant Staphylococcus aureus infection. We recommend remaining on guard against formation of a ductal aneurysm after coil embolization, especially in patients with associated recurrent bacteremia.
authors.affiliation: Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan. newriver@koto.kpu-m.ac.jp
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shinkawa
authors.forename: Masaaki
authors.initials: M
authors.lastname: Yamagishi
authors.forename: Keisuke
authors.initials: K
authors.lastname: Shuntoh
authors.forename: Katsuji
authors.initials: K
authors.lastname: Fujiwara
authors.forename: Taiji
authors.initials: T
authors.lastname: Watanabe
authors.forename: Satomi
authors.initials: S
authors.lastname: Yoshida
mesh_terms: D000015:Abnormalities, Multiple; D000785:Aneurysm, Infected / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D016470:Bacteremia / Q000150:complications*; D003108:Colonic Diseases / Q000601:surgery; D003125:Colostomy; D003251:Constriction, Pathologic / Q000601:surgery; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D020345:Enterocolitis, Necrotizing / Q000150:complications; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D007223:Infant; D016106:Methicillin Resistance; D011183:Postoperative Complications / Q000382:microbiology; D011651:Pulmonary Artery / Q000601:surgery; D011666:Pulmonary Valve Stenosis / Q000150:complications / Q000601:surgery; D012008:Recurrence; D012772:Shock, Septic / Q000209:etiology; D012857:Situs Inversus / Q000150:complications; D013203:Staphylococcal Infections / Q000150:complications*; D013348:Subclavian Artery / Q000601:surgery; D014188:Transposition of Great Vessels / Q000150:complications