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 infec...

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Veröffentlicht in:	Asian cardiovascular & thoracic annals 2014-05, Vol.22 (4), p.484-486
Hauptverfasser:	Janaswamy, Vishwanath, Gargipati, Madan Subramanyam, Sudhaker, Koneru, Parupati, Shyam Sunder Reddy, Alluri, Ravi Kumar, Gokhale, Alla Gopal Krishna
Format:	Artikel
Sprache:	eng
Schlagworte:	Administration, Intravenous Aneurysm, Infected - diagnosis Aneurysm, Infected - microbiology Aneurysm, Infected - surgery Angioplasty, Balloon, Coronary - adverse effects Angioplasty, Balloon, Coronary - instrumentation Anterior Wall Myocardial Infarction - diagnosis Anterior Wall Myocardial Infarction - therapy Anti-Bacterial Agents - administration & dosage Coronary Aneurysm - diagnosis Coronary Aneurysm - microbiology Coronary Aneurysm - surgery Coronary Angiography Coronary Artery Bypass Drug-Eluting Stents - adverse effects Endocarditis, Bacterial - diagnosis Endocarditis, Bacterial - microbiology Endocarditis, Bacterial - surgery Humans Ligation Male Middle Aged Prosthesis-Related Infections - diagnosis Prosthesis-Related Infections - microbiology Prosthesis-Related Infections - surgery Saphenous Vein - transplantation Staphylococcal Infections - diagnosis Staphylococcal Infections - microbiology Staphylococcal Infections - surgery Treatment Outcome
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Beschreibung
Zusammenfassung:	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.
ISSN:	0218-4923 1816-5370
DOI:	10.1177/0218492313478214