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

Publication ,  Journal Article
Patel, AJ; Mehta, RM; Gandhi, DB; Bossone, E; Mehta, RH
Published in: Ann Thorac Surg
May 2013

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.

Duke Scholars

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

May 2013

Volume

95

Issue

5

Start / End Page

1791 / 1793

Location

Netherlands

Related Subject Headings

  • Suppuration
  • Respiratory System
  • Pericardial Effusion
  • Middle Aged
  • Methicillin-Resistant Staphylococcus aureus
  • Male
  • Humans
  • Drug-Eluting Stents
  • Coronary Aneurysm
  • Aneurysm, Infected
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Patel, A. J., Mehta, R. M., Gandhi, D. B., Bossone, E., & Mehta, R. H. (2013). Coronary aneurysm and purulent pericardial effusion: old disease with an unusual cause. Ann Thorac Surg, 95(5), 1791–1793. https://doi.org/10.1016/j.athoracsur.2012.09.045
Patel, Amisha J., Rahul M. Mehta, Divyakant B. Gandhi, Eduardo Bossone, and Rajendra H. Mehta. “Coronary aneurysm and purulent pericardial effusion: old disease with an unusual cause.Ann Thorac Surg 95, no. 5 (May 2013): 1791–93. https://doi.org/10.1016/j.athoracsur.2012.09.045.
Patel AJ, Mehta RM, Gandhi DB, Bossone E, Mehta RH. Coronary aneurysm and purulent pericardial effusion: old disease with an unusual cause. Ann Thorac Surg. 2013 May;95(5):1791–3.
Patel, Amisha J., et al. “Coronary aneurysm and purulent pericardial effusion: old disease with an unusual cause.Ann Thorac Surg, vol. 95, no. 5, May 2013, pp. 1791–93. Pubmed, doi:10.1016/j.athoracsur.2012.09.045.
Patel AJ, Mehta RM, Gandhi DB, Bossone E, Mehta RH. Coronary aneurysm and purulent pericardial effusion: old disease with an unusual cause. Ann Thorac Surg. 2013 May;95(5):1791–1793.
Journal cover image

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

May 2013

Volume

95

Issue

5

Start / End Page

1791 / 1793

Location

Netherlands

Related Subject Headings

  • Suppuration
  • Respiratory System
  • Pericardial Effusion
  • Middle Aged
  • Methicillin-Resistant Staphylococcus aureus
  • Male
  • Humans
  • Drug-Eluting Stents
  • Coronary Aneurysm
  • Aneurysm, Infected