Fatal infection of coronary stent implantation

Cathet Cardiovasc Diagn. 1996 Oct;39(2):168-70; discussion 171. doi: 10.1002/(SICI)1097-0304(199610)39:2<168::AID-CCD12>3.0.CO;2-D.

Abstract

Among systemic infections occurring after percutaneous transluminal coronary angioplasty (PTCA) and coronary stent implantation, septic cardiac complications are rare. We report a new case of infective aneurysm of the left anterior descending coronary artery (LAD) following stent implantation. Infective mitral endocarditis due to Pseudomonas aeruginosa occurring a few weeks after stenting led to search for stent infection. Coronary angiography revealed a saccular aneurysm of the LAD. Despite surgical repair, a fatal outcome resulted.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / instrumentation
  • Anti-Bacterial Agents
  • Bacteremia / diagnosis
  • Bacteremia / etiology*
  • Coronary Aneurysm / drug therapy
  • Coronary Aneurysm / etiology*
  • Coronary Aneurysm / surgery
  • Coronary Angiography
  • Coronary Disease / diagnosis
  • Coronary Disease / therapy*
  • Drug Therapy, Combination / therapeutic use
  • Fatal Outcome
  • Humans
  • Male
  • Middle Aged
  • Pseudomonas Infections / drug therapy
  • Pseudomonas Infections / etiology*
  • Pseudomonas Infections / surgery
  • Stents / adverse effects*

Substances

  • Anti-Bacterial Agents