title: Successful endovascular treatment of rupture of mycotic left main coronary artery aneurysm.
abstract: Mycotic coronary aneurysm formation is a rare complication in patients with infective endocarditis. Furthermore, rupture of coronary artery aneurysm, also rare, is life threatening. Sudden rupture of left main mycotic coronary aneurysm occurred in a patient, aged 68 years, 1 month after root replacement for aortic regurgitation caused by infectious endocarditis. A polytetrafluoroethylene-covered stent was implanted covering the entire aneurysmal portion crossing over the left circumflex coronary artery in this emergent situation. After a successful hemostatic procedure, the patient recovered from cardiogenic shock. We confirmed the sustained patency of the stent segment by coronary angiography 6 months after the procedure.
authors: Division of Cardiology, Itabashi-chuo Medical Centre, Tokyo, Japan. shotorii@tokai-u.jp
authors: Sho
authors: S
authors: Torii
authors: Hiroshi
authors: H
authors: Ohta
authors: Yoshihiro
authors: Y
authors: Morino
authors: Makoto
authors: M
authors: Nakashima
authors: Yoshitaka
authors: Y
authors: Suzuki
authors: Seiichiro
authors: S
authors: Murata
authors: Yoshihiro
authors: Y
authors: Sakuma
authors: Yuji
authors: Y
authors: Ikari
authors: Tsutomu
authors: T
authors: Tamura
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications* / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D003323:Coronary Aneurysm / Q000150:complications* / Q000601:surgery; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000601:surgery*; D004696:Endocarditis / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D012422:Rupture, Spontaneous / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D011138:Polytetrafluoroethylene