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Left Anterior Descending Coronary Stent Infection and Pseudoaneurysm

Chandan Sharma1, Praveer Agarwal1

  • 1Department of Cardiology, Fortis Escorts Heart Institute, New Delhi, India.

JACC. Case Reports
|June 20, 2025
PubMed
Abstract

Insights

Coronary stent infection, a rare but serious complication after percutaneous coronary intervention (PCI), requires high suspicion for timely diagnosis and successful management. This case demonstrates successful intervention for stent infection and pseudoaneurysm.

Area of Science:

  • Cardiology
  • Infectious Diseases

Background:

  • Coronary stent infection is a rare complication with a high mortality rate.
  • Persistent fever after percutaneous coronary intervention (PCI) warrants consideration of stent infection.

Observation:

  • A middle-aged male presented with fever and ischemic chest pain post-PCI.
  • Coronary angiography revealed left anterior descending artery stent infection and pseudoaneurysm.

Findings:

  • Successful emergency coronary artery bypass graft surgery with pseudoaneurysm resection was performed.
  • The patient was discharged in stable condition following the intervention.

Implications:

  • Early diagnosis of coronary stent infection, though rare, is crucial for successful outcomes.
  • Multimodality imaging aids in confirming diagnosis and detecting complications for timely intervention.
Keywords:
chest paincomputed tomographycoronary angiographypercutaneous coronary intervention

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