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Purulent Pericardial Effusion and Mycotic Pseudoaneurysm Following Insertion of a Bare Metal Stent
Author(s) -
Kataoka Go,
Nakano Kiyoharu,
Asano Ryota,
Sato Atsuhiko,
Kodera Kojiro,
Tatsuishi Wataru
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12530
Subject(s) - medicine , pericardial effusion , pseudoaneurysm , percutaneous coronary intervention , ostium , right coronary artery , conventional pci , pericarditis , stent , surgery , bare metal stent , sinus (botany) , cardiology , radiology , coronary angiography , aneurysm , drug eluting stent , myocardial infarction , botany , biology , genus
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.[1][Lim CP, 2011], [2][Patel AJ, 2013] 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. doi: 10.1111/jocs.12530 (J Card Surg 2015;30:433–435)
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