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JACC. Case reports · 2026

Endocarditis-Associated Mycotic Aneurysms of Stented and Native Coronary Arteries.

Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Baal Ulysis H, Tingey Spencer D, Schachner Benjamin I, Gilani Aaron S, Khawaja Zohaib R, Park Carolyn J, Imielski Bartlomiej R

Аннотация

BACKGROUND: Mycotic coronary aneurysms are rare and usually life-threatening conditions that arise from infective endocarditis or systemic infection.

CASE SUMMARY: A 56-year-old woman with new-onset ankle swelling was concurrently found to have acute coronary syndrome and underwent percutaneous coronary intervention with drug-eluting stent placement to the left circumflex artery. Ongoing work-up revealed methicillin-susceptible Staphylococcus aureus bacteremia with associated mitral and tricuspid valve endocarditis and septic arthritis. While awaiting definitive surgical repair, she developed native and stent-associated mycotic aneurysms.

DISCUSSION: Mycotic aneurysms are serious complications of infective endocarditis, requiring surgical removal of the infected artery, augmented by bypass grafting or patch repair.

TAKE-HOME MESSAGE: We hope to raise awareness of endocarditis-associated mycotic aneurysms in both native and stented coronary arteries and their potentially devastating course.