Joshua Goldblatt1, Atsuo Doi1, Justin Negri1, Shane Nanayakkara2, David McGiffin1. 1. Department of Cardiothoracic Surgery, The Alfred Hospital, Melbourne, Australia. 2. Department of Cardiology, The Alfred Hospital, Australia Mycotic Coronary Artery Pseudoaneurysms, Melbourne, Australia.
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.
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.