Purulent pericardial effusion and mycotic pseudoaneurysm following insertion of a bare metal stent

Journal of Cardiac Surgery
Go KataokaWataru Tatsuishi

Abstract

A 65-year-old male was diagnosed with purulent pericarditis, caused by Staphylococcus aureus five weeks after bare metal stenting for a 90% stenosis of the right coronary artery ostium. Subsequently, he developed a pseudoaneurysm in the right coronary sinus of Valsalva (CSV) requiring surgical intervention during the treatment of the pericarditis. Bacteremia after percutaneous coronary intervention (PCI) occurs in < 1% of patients and usually has insignificant clinical sequelae. We present an infected coronary bare metal stent of the proximal right coronary artery after PCI that resulted in a purulent pericardial effusion and mycotic pseudoaneurysm of the right coronary sinus of Valsalva (CSV). The patient successfully underwent surgical treatment.

References

Apr 1, 1997·The American Journal of Cardiology·M H SamoreA W Karchmer
Jan 24, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mimi Q Le, Craig R Narins
Jan 14, 2011·Interactive Cardiovascular and Thoracic Surgery·Arul Dominic FurtadoRaghavendra Chikkatur
Jan 25, 2011·The Annals of Thoracic Surgery·Choon Pin LimJang Wen Su
Apr 24, 2013·The Annals of Thoracic Surgery·Amisha J PatelRajendra H Mehta

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