Infective coronary aneurysms: a complication of percutaneous coronary intervention
Guillermo Salinas1, Darren Kumar, Scott Lick
1Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas 77555-0553, USA.
Texas Heart Institute Journal
|April 11, 2007
Insights
This case report details a patient who developed infective coronary artery aneurysms following percutaneous coronary artery intervention. It covers the patient's presentation, diagnosis, and treatment, alongside a literature review.
Area of Science:
- Cardiology
- Infectious Diseases
- Interventional Cardiology
Background:
- Percutaneous coronary artery intervention (PCI) is a common procedure for coronary artery disease.
- Infective endocarditis can lead to complications such as septic emboli and mycotic aneurysms.
- Coronary artery aneurysms are uncommon but serious complications.
Observation:
- A patient developed infective coronary artery aneurysms after undergoing PCI.
- The clinical presentation included symptoms suggestive of infection and cardiac compromise.
- Diagnostic imaging revealed the presence of aneurysms in the coronary arteries.
Findings:
- Infective coronary artery aneurysms are a rare but significant complication post-PCI.
- Early diagnosis and appropriate treatment are crucial for favorable outcomes.
- The literature review highlights the challenges in managing these complex cases.
Implications:
- This case underscores the importance of considering infective etiologies in patients with aneurysms after PCI.
- Prompt diagnosis and targeted antimicrobial therapy, potentially combined with surgical intervention, are essential.
- Further research may elucidate optimal management strategies for this rare condition.
Abstract:
We present the case of a patient who developed infective coronary artery aneurysms after percutaneous coronary artery intervention. We describe the patient's clinical presentation, diagnosis, and treatment, and we review the pertinent medical literature.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
01:27Coronary Artery Disease V: Interprofessional Care
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
01:30Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
01:22Pericarditis I: Introduction
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...