Coronary aneurysm and purulent pericardial effusion: old disease with an unusual cause.

Journal Article (Journal Article)

We describe the case of a 60-year-old man with prior rotational atherectomy and drug-eluting stent to the left anterior descending artery (LAD) who presented with shortness of breath and chest pain 8 weeks after stent placement. Further workup revealed a large pericardial effusion with gram stain positive for methicillin-resistant Staphylococcus aureus. Subsequently, this was shown to be related to an aneurysm at the site of the prior LAD stent. This case demonstrated coronary stent infection with mycotic aneurysm and purulent pericardial effusion as an extremely rare but serious complication of percutaneous coronary intervention.

Full Text

Duke Authors

Cited Authors

  • Patel, AJ; Mehta, RM; Gandhi, DB; Bossone, E; Mehta, RH

Published Date

  • May 2013

Published In

Volume / Issue

  • 95 / 5

Start / End Page

  • 1791 - 1793

PubMed ID

  • 23608264

Electronic International Standard Serial Number (EISSN)

  • 1552-6259

Digital Object Identifier (DOI)

  • 10.1016/j.athoracsur.2012.09.045


  • eng

Conference Location

  • Netherlands