title: Multiple myocardial abscesses secondary to late stent infection.
abstract: A 53-year-old woman presented to our hospital with dizziness and low-grade fever. She underwent percutaneous coronary intervention to the obtuse marginal artery with a drug-eluting stent 20 months prior to this presentation. Physical examination was remarkable for bradycardia. Electrocardiogram showed a junctional rhythm with heart rate of 35 bpm. Blood and urine cultures were negative. Despite successful urgent pacemaker placement, she had cardiac arrest the following day with unsuccessful cardiopulmonary resuscitation attempt. Cardiac autopsy report revealed multiple abscesses involving the obtuse marginal and left anterior descending arteries as well as the adjacent myocardial regions.
authors.affiliation: Department of Internal Medicine, Rochester General Hospital, Rochester, NY; Department of Cardiovascular Medicine, Ain Shams University, Cairo, Egypt. Electronic address: Ayman.Elbadawi@rochesterregional.org.
authors.forename: Ayman
authors.initials: A
authors.lastname: Elbadawi
authors.affiliation: Department of Cardiovascular Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
authors.forename: Marwan
authors.initials: M
authors.lastname: Saad
authors.affiliation: Division of Cardiovascular Medicine, University of Florida, Gainesville, FL.
authors.forename: Islam Y
authors.initials: IY
authors.lastname: Elgendy
authors.affiliation: Department of Internal Medicine, Rochester General Hospital, Rochester, NY.
authors.forename: Aneeqa
authors.initials: A
authors.lastname: Zafar
authors.affiliation: Department of Pulmonary and Critical care Medicine, Rochester General Hospital, Rochester, NY.
authors.forename: Ming-Yan
authors.initials: MY
authors.lastname: Chow
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D001344:Autopsy; D001919:Bradycardia / Q000209:etiology; D002304:Cardiac Pacing, Artificial; D009202:Cardiomyopathies / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D016887:Cardiopulmonary Resuscitation; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology*; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D016896:Treatment Outcome
keywords: Abscess; Infection; Percutaneous coronary intervention; Stent