The diagnosis and treatment of a mycotic coronary artery aneurysm: a case report.
Aneurysms of the coronary arteries are rare and are usually associated with atherosclerosis in adults. Mycotic coronary artery aneurysms are exceedingly uncommon and are typically associated with systemic bacteremia, endocarditis, or septic emboli. Literature and data describing the management of mycotic coronary artery aneurysms are limited. This case describes the successful diagnosis of a large right coronary artery aneurysm by transesophageal echocardiogram as well as the successful management of the aneurysm.
Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Kyle W
KW
Pfahl
David A
DA
Orsinelli
Subha
S
Raman
Michael
M
Firstenberg
D000328:Adult; D000480:Alkynes / Q000627:therapeutic use; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000601:surgery; D016470:Bacteremia / Q000150:complications; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000601:surgery; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000175:diagnosis* / Q000188:drug therapy; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D010493:Pericarditis / Q000209:etiology; D010538:Peritonitis / Q000150:complications; D035583:Rare Diseases; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging
D000480:Alkynes; C094348:antibiotic 07F275
atrial mass; contrast echocardiography; coronary artery aneurysm; mycotic aneurysm; transesophageal echocardiography; ventricular mass