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Coil Embolization of a Ruptured Mycotic Coronary Artery Aneurysm in a Pediatric Patient

Maria Niccum1, Mudit Gupta1, Jonathan J Rome1

  • 1Division of Cardiology, The Children's Hospital of Philadelphia, and Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

JACC. Case Reports
|September 18, 2023
PubMed

Insights

Mycotic coronary artery aneurysms are rare but serious. This report details a successful percutaneous coil embolization for a pediatric patient with this condition, offering an alternative to surgery.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Pediatric Cardiology

Background:

  • Mycotic coronary artery aneurysms (MCAs) are uncommon but carry a high mortality risk.
  • Surgical intervention is the traditional treatment for MCAs.
  • Percutaneous techniques offer an alternative for high-surgical-risk patients.

Purpose of the Study:

  • To report a successful percutaneous management of a mycotic coronary aneurysm in a pediatric patient.
  • To highlight coil embolization as a viable treatment option.

Main Methods:

  • A case of mycotic coronary aneurysm in a pediatric patient was described.
  • Percutaneous coil embolization was successfully performed.
  • The procedure was performed in a patient with high surgical risk.

Main Results:

  • Successful management of the mycotic coronary aneurysm was achieved.
  • The percutaneous approach was effective and safe in this pediatric case.
  • The patient was successfully treated without surgical intervention.

Conclusions:

  • Percutaneous coil embolization is an effective treatment for mycotic coronary aneurysms in pediatric patients.
  • This minimally invasive approach can be a valuable alternative to surgery, especially in high-risk individuals.
  • Further research into percutaneous interventions for pediatric MCAs is warranted.
Keywords:
congenital heart defectleft-sided catheterizationpercutaneous coronary intervention

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