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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Management of a right coronary artery mycotic coronary aneurysm with percutaneous intervention with covered stents

Justin Price1, Robert Okyere1, Sadeer Al-Kindi1,2

  • 1Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals, Cleveland Medical Center, Cleveland, Ohio, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|November 20, 2022
PubMed

Insights

Mycotic coronary aneurysms are rare, potentially fatal infections of the heart's arteries. This case highlights successful treatment using covered stents in a high-risk patient unsuitable for surgery.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • Coronary artery aneurysms are uncommon, with poorly understood causes.
  • Mycotic coronary aneurysms are exceedingly rare, often resulting from bacteremia.
  • These aneurysms pose a significant risk of rupture and mortality.

Observation:

  • A case of mycotic aneurysm in the right coronary artery is presented.
  • The patient had complex medical comorbidities and was not a candidate for surgical intervention.
  • Diagnosis was confirmed during coronary angiography.

Findings:

  • Percutaneous coronary intervention (PCI) was successfully performed.
  • Covered stents were utilized to treat the mycotic aneurysm.
  • The intervention was technically successful in excluding the aneurysm.

Implications:

  • Percutaneous treatment with covered stents offers a viable alternative for mycotic coronary aneurysms in high-risk patients.
  • This approach may improve outcomes for patients unsuitable for traditional surgery.
  • Further research is warranted to establish optimal management strategies for this rare condition.
Keywords:
coronary aneurysmcovered stentingmycotic aneurysmpercutaneous coronary interventionventricular tachycardia

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