Coronary Drug-Eluting Stent Infection Complicated by Coronary Artery Aneurysm and Purulent Pericarditis: Complete Resolution Without Surgery

Can J Cardiol. 2020 Jun;36(6):967.e1-967.e3. doi: 10.1016/j.cjca.2020.01.007. Epub 2020 Jan 20.

Abstract

Coronary stent infection is considered to be a rare but catastrophic complication of percutaneous coronary intervention. In this report, we present a 72-year-old man who developed a coronary stent infection complicated by coronary aneurysm and purulent pericarditis. Coronary artery aneurysm resolved over a period of 8 months following the successful management of infection with intensive antibiotic therapy alone. This case suggests that conservative therapy can be a therapeutic option in patients with high operative risks.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / administration & dosage*
  • Computed Tomography Angiography
  • Coronary Aneurysm* / diagnostic imaging
  • Coronary Aneurysm* / drug therapy
  • Coronary Aneurysm* / etiology
  • Coronary Disease / surgery*
  • Drug-Eluting Stents / adverse effects*
  • Duration of Therapy
  • Electrocardiography / methods
  • Humans
  • Male
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / instrumentation
  • Percutaneous Coronary Intervention* / methods
  • Pericarditis* / diagnosis
  • Pericarditis* / drug therapy
  • Pericarditis* / etiology
  • Prosthesis-Related Infections* / complications
  • Prosthesis-Related Infections* / diagnosis
  • Prosthesis-Related Infections* / microbiology
  • Prosthesis-Related Infections* / physiopathology
  • Risk Adjustment / methods
  • Staphylococcus aureus
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents