Back to Search
Start Over
Successful surgical treatment of an infected right coronary artery aneurysm-to-right ventricle fistula after sirolimus-eluting stent implantation.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2007; Vol. 46 (12), pp. 865-71. Date of Electronic Publication: 2007 Jun 15. - Publication Year :
- 2007
-
Abstract
- The development of infected coronary aneurismal fistula following stenting seems exceedingly rare. A sirolimus-eluting stent (SES) was implanted in a 70-year-old male patient for acute coronary syndrome. His fever persisted despite treatment with adapted antibiotics. Coronary angiography and 16-multidetector row computed tomography demonstrated the huge right coronary aneurysm forming a fistula to the right ventricle. The aneurysm was excised by surgical treatment. Histopathological examination of the resected mass revealed leucocyte infiltration at the stent site, which lead to the diagnosis of mycotic aneurysm. SESs may play a potential role in locally blunting the innate response to bacterial agents.
- Subjects :
- Aged
Anti-Bacterial Agents administration & dosage
Coronary Aneurysm diagnosis
Coronary Aneurysm drug therapy
Fistula diagnosis
Humans
Male
Sirolimus administration & dosage
Staphylococcal Infections diagnosis
Staphylococcal Infections etiology
Staphylococcal Infections therapy
Treatment Outcome
Coronary Aneurysm etiology
Coronary Aneurysm surgery
Fistula etiology
Fistula surgery
Heart Ventricles surgery
Stents adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 46
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 17575380
- Full Text :
- https://doi.org/10.2169/internalmedicine.46.6459