Mycotic Pseudoaneurysms of the Coronary Arteries

J Card Surg. 2015 Jul;30(7):555-9. doi: 10.1111/jocs.12563. Epub 2015 May 19.

Abstract

Background: Mycotic coronary artery aneurysms are rare and are often fatal without early recognition and prompt surgical management.

Methods: We present a case of mycotic pseudoaneurysm of the left main coronary artery (LMCA) after disseminated methicillin-sensitive Staphylococcus aureus (MSSA) bacteraemia. A review of the literature in regards to the surgical management of coronary artery mycotic pseudoaneurysms was conducted.

Results: There were 26 reported cases of surgical management of coronary artery mycotic pseudoaneurysms. Coronary artery bypass surgery (CABG) and excision was the most common management (73.1% of cases reviewed).

Conclusion: This case highlights the difficultly in diagnosing mycotic coronary artery pseudoaneurysms.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm, False / diagnosis
  • Aneurysm, False / surgery*
  • Aneurysm, Infected / diagnosis
  • Aneurysm, Infected / surgery*
  • Cardiovascular Surgical Procedures / methods*
  • Coronary Artery Bypass / methods*
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / surgery*
  • Humans
  • Male
  • Middle Aged
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / surgery*
  • Treatment Outcome