Acute coronary syndrome caused by coronary artery mycotic aneurysm due to late stent infection localized with radiolabeled autologous leukocyte imaging.
Mycotic coronary artery aneurysm presenting as acute coronary syndrome is an uncommon but fatal condition. The diagnosis of mycotic aneurysm can be very challenging and difficult. Therefore, a high index of suspicion along with the use of multimodality imaging may help to diagnose this condition in patients with a prior history of coronary artery bypass grafting or percutaneous coronary intervention with persistent bacteremia with no identifiable source of infection. This case highlights a possibility of late stent infection and its association to drug eluting stents.
University of Missouri - Columbia, Columbia, MO 65212, USA. gargn@health.missouri.edu
Nadish
N
Garg
Rajeev
R
Garg
Christensen
C
Gordon
Rachandeep
R
Singh
Amalok
A
Singh
D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000209:etiology*; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D017023:Coronary Angiography; D003952:Diagnostic Imaging / Q000379:methods*; D006801:Humans; D007962:Leukocytes / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000209:etiology*; D011877:Radionuclide Imaging; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous