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Updated: Mar 31, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Repair of a Mycotic Coronary Artery Aneurysm with an Intact Prosthetic Aortic Valve
Mitsugu Ogawa1, David Bell1, David Marshman1
1Department of Cardiothoracic Surgery, Royal North Shore Hospital, Sydney, NSW, Australia.
Abstract:
We describe the case of a 75-year-old man with a mycotic right coronary artery aneurysm without evidence of prosthetic valve endocarditis. Eight years previously he had undergone coronary artery bypass surgery and aortic valve replacement. He presented with methicillin resistant staphylococcus aureus septicaemia after a prolonged hospital admission. Further investigation revealed a large mycotic right coronary artery aneurysm prompting urgent surgical repair. This case, of a mycotic coronary artery aneurysm in an atherosclerotic native coronary artery, is an extremely rare entity, which is further complicated by the presence of a prosthetic aortic valve.
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