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Staphylococcus aureus pericarditis with tamponade complicating coronary angioplasty and stenting
H Amin1, B Munt, A Ignaszewski
1Healthy Heart Program, St Paul's Hospital, Vancouver, British Columbia.
Insights
A rare Staphylococcus aureus infection caused purulent pericarditis and tamponade after coronary angioplasty and stenting. Prompt treatment with drainage and antibiotics led to successful recovery in this unique case.
Area of Science:
- Cardiology
- Infectious Diseases
- Interventional Cardiology
Background:
- Coronary angioplasty and stenting are common procedures for treating occluded arteries.
- Infectious complications following these interventions are considered rare.
Observation:
- A 70-year-old male developed Staphylococcus aureus pericarditis with cardiac tamponade after percutaneous transluminal coronary angioplasty (PTCA) and stenting of the left anterior descending artery.
- This complication presented as a rare instance of purulent pericarditis post-revascularization.
Findings:
- The patient was successfully managed with a closed drainage system and a course of antibiotics.
- This case represents the first documented instance of purulent pericarditis and tamponade occurring after percutaneous revascularization.
Implications:
- Highlights the potential for uncommon infectious complications after coronary stenting.
- Emphasizes the importance of prompt diagnosis and management of pericarditis in patients undergoing percutaneous coronary interventions.
- Suggests vigilance for Staphylococcus aureus as a causative agent in post-procedural pericarditis.
Abstract:
Infectious complications of coronary angioplasty and stenting are uncommon. A 70-year-old man is presented who underwent percutaneous transluminal coronary angioplasty (PTCA) and stenting of an occluded left anterior descending artery. This was complicated by Staphylococcus aureus pericarditis with tamponade. He was successfully treated with a closed drainage and antibiotics. This is the first reported case in the literature that documents purulent pericarditis and tamponade following percutaneous revascularization.