Large mycotic pseudoaneurysm of the left circumflex treated with antibiotics and covered stent.
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.
Shariff
Nasir
N
Department of Medicine, Lehigh Valley Hospital, 1240 S. Cedar Crest Blvd., Allentown, PA 18103, USA. nasirshariff@gmail.com
Combs
William
W
Roberts
Justin
J
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
D000900:Anti-Bacterial Agents; D020099:Coated Materials, Biocompatible