Successful surgical outcome of infected aneurysmal drug-coated stent endocarditis.
A 52-year-old man developed pyrexia after primary angioplasty following anterior myocardial infarction Noninvasive evaluation revealed staphylococcal septicemia with suspicion of an aneurysm or abscess at the stented segment. Coronary angiography confirmed the presence of a large aneurysm. The infected left anterior descending artery aneurysm was de-roofed and ligated, and a saphenous vein bypass graft was placed, with an excellent outcome.
Department of Cardiothoracic Surgery, Global Hospitals, Hyderabad, India.
Vishwanath
V
Janaswamy
Madan Subramanyam
MS
Gargipati
Koneru
K
Sudhaker
Shyam Sunder Reddy
SS
Parupati
Ravi Kumar
RK
Alluri
Alla Gopal Krishna
AG
Gokhale
D061605:Administration, Intravenous; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents
Coronary artery bypass; Endocarditis; Prosthesis-related infections; Staphylococcal infections; Stents