title: Large mycotic pseudoaneurysm of the left circumflex treated with antibiotics and covered stent.
abstract: Coronary artery mycotic aneurysms are rare complications of infective endocarditis. They are usually managed surgically with excision of the aneurysm. This surgical procedure has high morbidity and mortality. We report a case of a giant mycotic coronary aneurysm following infective endocarditis which was treated with intravenous antibiotics and covered stent. This case highlights a new treatment modality in critically ill patients.
authors.affiliation: Department of Medicine, Lehigh Valley Hospital, 1240 S. Cedar Crest Blvd., Allentown, PA 18103, USA. nasirshariff@gmail.com
authors.forename: Nasir
authors.initials: N
authors.lastname: Shariff
authors.forename: William
authors.initials: W
authors.lastname: Combs
authors.forename: Justin
authors.initials: J
authors.lastname: Roberts
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D020099:Coated Materials, Biocompatible; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D017023:Coronary Angiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015607:Stents
chemical_list: D000900:Anti-Bacterial Agents; D020099:Coated Materials, Biocompatible