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Mycotic Pseudoaneurysms of the Coronary Arteries
Author(s) -
Goldblatt Joshua,
Doi Atsuo,
Negri Justin,
Nanayakkara Shane,
McGiffin David
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.12563
Subject(s) - medicine , mycotic aneurysm , artery , pseudoaneurysm , cardiology , surgery , coronary artery bypass surgery , radiology , aneurysm
A bstract 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)