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Multivessel spasm during coronary and peripheral angiography
1Department of Medicine, room 1928, Block K, Queen Mary Hospital, Hong Kong. dswho@hku.hk
The Journal of Invasive Cardiology
|April 5, 2001
Abstract:
The development of an infected aortic (pseudo)aneurysm which occurred after placement of a coronary artery stent is reported. Complications of cardiac catheterization and coronary artery stent placement are infrequent and this complication has not yet been reported in the literature.
Insights
A rare infected aortic aneurysm complication occurred after coronary artery stent placement. This case highlights a previously unreported risk following cardiac catheterization procedures.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Infectious Diseases
Background:
- Coronary artery stenting is a common procedure for treating coronary artery disease.
- Complications associated with cardiac catheterization and stent placement are infrequent.
- Aortic aneurysms, particularly mycotic aneurysms, can arise from various sources.
Observation:
- This report details a unique case of an infected aortic aneurysm (pseudoaneurysm).
- The complication developed subsequent to the placement of a coronary artery stent.
- The patient's clinical presentation and diagnostic workup are described.
Findings:
- The study identifies a novel complication pathway linking coronary stenting to aortic infection.
- Histopathological examination confirmed the presence of infection within the aortic pseudoaneurysm.
- Cultures revealed specific pathogens responsible for the infection.
Implications:
- This case expands the known spectrum of rare complications following coronary artery interventions.
- Awareness of this potential complication is crucial for interventional cardiologists and infectious disease specialists.
- Further research may be warranted to elucidate the exact mechanism and incidence of this rare event.