1. Unusual Presentation of a Rapidly Progressive Coronary Artery Pseudoaneurysm after Drug Eluting Stent Placement
- Author
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Sandeep Goel, Tek Singh Mahant, Sreenivas Reddy, Raghavendra Rao K, and Sreedhara B. Cheluvashetty
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Cardiology ,030204 cardiovascular system & hematology ,03 medical and health sciences ,Pseudoaneurysm ,0302 clinical medicine ,Aneurysm ,mental disorders ,medicine ,cardiovascular diseases ,Coronary artery aneurysm ,business.industry ,percutaneous coronary intervention ,General Engineering ,Percutaneous coronary intervention ,nutritional and metabolic diseases ,medicine.disease ,coronary artery aneurysm ,Surgery ,medicine.anatomical_structure ,Drug-eluting stent ,Cardiac/Thoracic/Vascular Surgery ,Conventional PCI ,Complication ,business ,drug eluting stent ,030217 neurology & neurosurgery ,Artery - Abstract
Infected coronary artery aneurysm (CAA) is a rare complication of percutaneous coronary intervention (PCI) and is associated with high morbidity and mortality. The management of infected CAA is unclear and is based on the clinical and imaging features. We report an interesting case of a giant infected right CAA secondary to Pseudomonas aeruginosa within four weeks of a drug eluting stent (DES) implantation. Chronological analysis of the coronary angiograms and computed tomography coronary angiography revealed rapid progression in the size of the aneurysm from small to a giant CAA over a period of four weeks. Patient remained afebrile throughout the hospital stay without any signs of septicaemia. In view of the rapid progression in size, surgical aneurysmal ligation with distal revascularisation was done with good post-operative recovery. Afebrile presentation of an infected CAA is very rarely reported in the literature as in our case. Early diagnosis using multimodality imaging and immediate surgical intervention are the cornerstone in the management of giant infected CAAs.
- Published
- 2021