Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary Intervention
Clinical Condition: We present a case of an extremely rare condition of acute stent infection in a patient with multiple previous coronary interventions who underwent a successful percutaneous coronary intervention for chronic total occlusion with stent implantation in his right coronary artery. He...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | JACC: Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084925006874 |
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| author | Malin Renee Flygel, MD Nigusssie Bogale, MD, PhD Steinar Lundemoen, MD, PhD Rafael Alexander Leiva, MD Terje Hjalmar Larsen, MD, PhD Sahrai Saeed, MD, PhD Robert Mantongo Persson, MD Anja Oksnes, MD |
| author_facet | Malin Renee Flygel, MD Nigusssie Bogale, MD, PhD Steinar Lundemoen, MD, PhD Rafael Alexander Leiva, MD Terje Hjalmar Larsen, MD, PhD Sahrai Saeed, MD, PhD Robert Mantongo Persson, MD Anja Oksnes, MD |
| author_sort | Malin Renee Flygel, MD |
| collection | DOAJ |
| description | Clinical Condition: We present a case of an extremely rare condition of acute stent infection in a patient with multiple previous coronary interventions who underwent a successful percutaneous coronary intervention for chronic total occlusion with stent implantation in his right coronary artery. He developed fever the day after the procedure, and blood culture showed growth of Staphylococcus aureus. Positron emission tomography–computed tomography showed fluorodeoxyglucose uptake in relation to the right coronary artery stent, and follow-up computed tomography showed the development of a pseudoaneurysm and suspicion of stent separation. Key Questions: Is the S aureus bacteremia in his blood culture related to the procedure? What do positron emission tomography–computed tomography findings indicate? Can the devolvement of a pseudoaneurysm cause stent separation? Outcome: After a broad multidisciplinary discussion and fear of pseudoaneurysm rupture with lethal outcomes, a successful open-heart surgery was performed, involving the removal of the pseudoaneurysm and stents. The patient is currently doing well with only mild symptoms. Take-Home Messages: The current work highlights the importance of close surveillance of patients presenting with signs and symptoms of septicemia after coronary intervention. It also underscores the value of a broad and dynamic multidisciplinary discussion and action during the management of such a rare complication with mycotic coronary aneurysms. |
| format | Article |
| id | doaj-art-6b76b548fee34f23b95adff74e8d2e18 |
| institution | Matheson Library |
| issn | 2666-0849 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj-art-6b76b548fee34f23b95adff74e8d2e182025-07-04T04:46:58ZengElsevierJACC: Case Reports2666-08492025-07-013017103909Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary InterventionMalin Renee Flygel, MD0Nigusssie Bogale, MD, PhD1Steinar Lundemoen, MD, PhD2Rafael Alexander Leiva, MD3Terje Hjalmar Larsen, MD, PhD4Sahrai Saeed, MD, PhD5Robert Mantongo Persson, MD6Anja Oksnes, MD7Department of Heart Disease, Haukeland University Hospital, Bergen, NorwayDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway; Address for correspondence: Dr Nigusssie Bogale, Department of Heart Disease, Haukeland University Hospital, Jonas Liesvei 65, 5021 Bergen, Norway.Department of Heart Disease, Haukeland University Hospital, Bergen, NorwayDepartment of Internal Medicine, Haukeland University Hospital, Bergen, NorwayDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway; Department of Biomedicine, University of Bergen, Bergen, NorwayDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway; Department of Cardiology, Oslo University Hospital Ullevaal and Faculty of Medicine University of Oslo, NorwayDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway; Department of Clinical Science, Faculty of Medicine, University of Bergen, Bergen, NorwayDepartment of Heart Disease, Haukeland University Hospital, Bergen, NorwayClinical Condition: We present a case of an extremely rare condition of acute stent infection in a patient with multiple previous coronary interventions who underwent a successful percutaneous coronary intervention for chronic total occlusion with stent implantation in his right coronary artery. He developed fever the day after the procedure, and blood culture showed growth of Staphylococcus aureus. Positron emission tomography–computed tomography showed fluorodeoxyglucose uptake in relation to the right coronary artery stent, and follow-up computed tomography showed the development of a pseudoaneurysm and suspicion of stent separation. Key Questions: Is the S aureus bacteremia in his blood culture related to the procedure? What do positron emission tomography–computed tomography findings indicate? Can the devolvement of a pseudoaneurysm cause stent separation? Outcome: After a broad multidisciplinary discussion and fear of pseudoaneurysm rupture with lethal outcomes, a successful open-heart surgery was performed, involving the removal of the pseudoaneurysm and stents. The patient is currently doing well with only mild symptoms. Take-Home Messages: The current work highlights the importance of close surveillance of patients presenting with signs and symptoms of septicemia after coronary intervention. It also underscores the value of a broad and dynamic multidisciplinary discussion and action during the management of such a rare complication with mycotic coronary aneurysms.http://www.sciencedirect.com/science/article/pii/S2666084925006874pseudoaneurysm with coronary pseudoaneurysmstent infectionstent separation |
| spellingShingle | Malin Renee Flygel, MD Nigusssie Bogale, MD, PhD Steinar Lundemoen, MD, PhD Rafael Alexander Leiva, MD Terje Hjalmar Larsen, MD, PhD Sahrai Saeed, MD, PhD Robert Mantongo Persson, MD Anja Oksnes, MD Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary Intervention JACC: Case Reports pseudoaneurysm with coronary pseudoaneurysm stent infection stent separation |
| title | Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary Intervention |
| title_full | Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary Intervention |
| title_fullStr | Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary Intervention |
| title_full_unstemmed | Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary Intervention |
| title_short | Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary Intervention |
| title_sort | acute coronary stent infection with pseudoaneurysm formation and stent separation after percutaneous coronary intervention |
| topic | pseudoaneurysm with coronary pseudoaneurysm stent infection stent separation |
| url | http://www.sciencedirect.com/science/article/pii/S2666084925006874 |
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