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Mycotic Pseudoaneurysms of the Coronary Arteries
Joshua Goldblatt1, Atsuo Doi1, Justin Negri1
1Department of Cardiothoracic Surgery, The Alfred Hospital, Melbourne, Australia.
Background:
Mycotic coronary artery aneurysms are rare and are often fatal without early recognition and prompt surgical management.
Methods:
We present a case of mycotic pseudoaneurysm of the left main coronary artery (LMCA) after disseminated methicillin-sensitive Staphylococcus aureus (MSSA) bacteraemia. A review of the literature in regards to the surgical management of coronary artery mycotic pseudoaneurysms was conducted.
Results:
There were 26 reported cases of surgical management of coronary artery mycotic pseudoaneurysms. Coronary artery bypass surgery (CABG) and excision was the most common management (73.1% of cases reviewed).
Conclusion:
This case highlights the difficultly in diagnosing mycotic coronary artery pseudoaneurysms.
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