Related Experiment Video

Updated: Jun 23, 2026

An Intact Pericardium Ischemic Rodent Model
07:15

An Intact Pericardium Ischemic Rodent Model

Published on: September 2, 2021

Infective mycotic aneurysm presenting as transient acute coronary occlusion and infectious pericarditis

Aaref Badshah1, Fahad Younas, Muhammad Janjua

  • 1Department of Internal Medicine, Saint Joseph Mercy-Oakland, Pontiac, MI 48341-5023, USA. aarefbadshah@gmail.com

Southern Medical Journal
|May 13, 2009
PubMed

Insights

Cardiac catheterization rarely causes bacteremia, but percutaneous coronary intervention (PCI) frequently leads to it. While rare, septic complications after PCI can be severe, as seen in a case of mycotic coronary aneurysm and infective pericarditis.

Area of Science:

  • Cardiology
  • Infectious Diseases

Background:

  • Cardiac catheterization generally has a low risk of bacteremia.
  • Post-coronary artery intervention (PCI) bacteremia is common, affecting about 30% of patients.

Observation:

  • Percutaneous coronary intervention (PCI) procedures, due to their duration and device use, have a higher potential for causing bacteremia.
  • A specific case is presented involving a patient who developed a mycotic coronary artery aneurysm and infective pericarditis following PCI.

Findings:

  • While bacteremia post-PCI is frequent, clinical sequelae are uncommon.
  • Septic complications after cardiovascular interventions, though rare, are associated with high and rapid morbidity and mortality.

Implications:

  • This case highlights the potential for serious infective complications after PCI, emphasizing the need for vigilance.
  • Further research may be warranted to understand and mitigate the risk of septic complications following percutaneous coronary interventions.

Related Concept Videos

Pericarditis I: Introduction01:22

Pericarditis 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...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute 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...