Afebrile mycotic aneurysm with rupture in right coronary artery after bare-metal stent implantation

I. Chih Chen, Ting Hsing Chao, I. Hsuen Wu, Chung Dan Kan, Ching Chang Fang

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Mycotic coronary aneurysm is a rare complication of coronary angioplasty.We report an unusual case, a 58-year-old male with diabetes mellitus and end-stage renal disease, who underwent bare-metal stent implantation at the right coronary artery for acute coronary syndrome. The patient subsequently developed mycotic aneurysm at the stenting site which manifested as chest pain and severe back pain. Later, a lethal aneurysm rupture occurred, resulting in cardiac tamponade. Surgical debridement with emergent coronary artery bypass grafting was carried out, and post-surgical tissue specimen culture grew methicillin-resistant Staphylococcus aureus. The patient died of mediastinitis and massive bleeding 2 weeks after the operation. Thereafter, we completed a review of the literature due to the rarely-occurring nature of this patient's case.

Original languageEnglish
Pages (from-to)344-348
Number of pages5
JournalActa Cardiologica Sinica
Volume28
Issue number4
Publication statusPublished - 2012 Dec 1

Fingerprint

Infected Aneurysm
Stents
Rupture
Coronary Vessels
Metals
Coronary Aneurysm
Mediastinitis
Cardiac Tamponade
Debridement
Back Pain
Acute Coronary Syndrome
Methicillin-Resistant Staphylococcus aureus
Chest Pain
Angioplasty
Coronary Artery Bypass
Chronic Kidney Failure
Aneurysm
Diabetes Mellitus
Hemorrhage

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

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Afebrile mycotic aneurysm with rupture in right coronary artery after bare-metal stent implantation. / Chen, I. Chih; Chao, Ting Hsing; Wu, I. Hsuen; Kan, Chung Dan; Fang, Ching Chang.

In: Acta Cardiologica Sinica, Vol. 28, No. 4, 01.12.2012, p. 344-348.

Research output: Contribution to journalReview article

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AU - Chen, I. Chih

AU - Chao, Ting Hsing

AU - Wu, I. Hsuen

AU - Kan, Chung Dan

AU - Fang, Ching Chang

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