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Large mycotic pseudoaneurysm of the left circumflex treated with antibiotics and covered stent

Nasir Shariff1, William Combs, Justin Roberts

  • 1Department of Medicine, Lehigh Valley Hospital, 1240 S. Cedar Crest Blvd., Allentown, PA 18103, USA. nasirshariff@gmail.com

The Journal of Invasive Cardiology
|February 3, 2009
PubMed

Insights

Giant mycotic coronary aneurysms, rare complications of infective endocarditis, can be treated with antibiotics and covered stents. This approach offers a less invasive option for critically ill patients, potentially reducing surgical risks.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Mycotic aneurysms of the coronary arteries are uncommon but serious complications of infective endocarditis.
  • Traditional management involves surgical excision, carrying significant risks of morbidity and mortality.

Observation:

  • A case of a giant mycotic coronary aneurysm secondary to infective endocarditis is presented.
  • The patient was critically ill, making conventional surgical intervention a high-risk option.

Findings:

  • The patient was successfully treated with a combination of intravenous antibiotics and a novel covered stent placement.
  • This minimally invasive approach effectively managed the giant mycotic coronary aneurysm.

Implications:

  • This case suggests that endovascular repair with covered stents may be a viable alternative to surgery for select patients with mycotic coronary aneurysms.
  • This treatment modality could improve outcomes for critically ill patients with this rare condition, reducing the need for high-risk open-heart surgery.

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