Mycotic Pseudoaneurysms of the Coronary Arteries

Background Mycotic coronary artery aneurysms are rare and are often fatal without early recognition and prompt surgical management. Methods We present a case of mycotic pseudoaneurysm of the left main coronary artery (LMCA) after disseminated methicillin‐sensitive Staphylococcus aureus (MSSA) bacteraemia. A review of the literature in regards to the surgical management of coronary artery mycotic pseudoaneurysms was conducted. Results There were 26 reported cases of surgical management of coronary artery mycotic pseudoaneurysms. Coronary artery bypass surgery (CABG) and excision was the most common management (73.1% of cases reviewed). Conclusion This case highlights the difficultly in diagnosing mycotic coronary artery pseudoaneurysms. doi: 10.1111/jocs.12563 (J Card Surg 2015;30:555–559)