Coronary Artery Mycotic Aneurysm Following Endocarditis of a Composite Aortic Graft

Abstract

Mycotic aneurysms of the coronary arteries are rare, with 15 reported cases. These frequently fatal lesions usually occur in a setting of subacute bacterial endocarditis involving native valves. The authors present the first report of mycotic aneurysm of the first diagonal coronary artery following infection of a composite aortic graft.

Get full access to this article

View all access options for this article.

References

Durack DT : Infective and noninfective endocarditis In: Hurst's—The Heart, Arteries, and Veins, ed. by Schlant RC, Alexander RW. New York: McGraw-Hill, 1994, p 1694.

Bougon M. : Observation sur un Anévrisme d'une des Artères Coronaires ou Cardiaques, Accompagnè de Quelques Autres Lésions Organiques du Coeur, Bibliothèque Médicale 37:85-90, 1812.

Ogle JW : On a case of death from haemorrhage into the pericardium St George Hosp Rep 2:296, 1867.

Hartnell GG , Parnell BM , Pridie RB : Coronary artery ectasia: Its prevalence and clinical significance in 4993 patients Br Heart J 54:392-395, 1985.

Daoud AS , Pankin D. , Tulgan H., et al : Aneurysms of the coronary artery: Report of ten cases and review of the literature Am J Cardiol 11:228-237, 1963.

Cliff MM , Soulen RL , Finestone AJ : Mycotic aneurysms—a challenge and a clue: Review of ten-year experience Arch Intern Med 126:977-982, 1970.

(See also Kalangos A. , Julia PL , Ozler A., et al : Successful surgical treatment of a coronary artery mycotic aneurysm Ann Thorac Surg 58:1521-1523, 1994 ;

Reece IJ , Tareif HA , Tolia J., et al : Mycotic aneurysm of the left anterior descending coronary artery after aortic endocarditis: A case report and a brief review of the literature Tex Heart Inst J 21:231-235, 1994.)

Coselli JS , Crawford ES , Williams TW Jr, et al : Treatment of postoperative infections of ascending aorta and transverse aortic arch including use of viable omentum and muscle flaps Ann Thorac Surg 50:868-881, 1990.

10.

Hargrove WC , Edmunds, LH : Management of infected thoracic aortic prosthetic grafts Ann Thorac Surg 37:72-77, 1984.

11.

Yamaguchi A. , Kitamura N. , Kawashima M., et al : Prosthetic valve endocarditis after double valve replacement Nippon-Kyobu-Geka-Gakkai-Zasshi 41:282-287, 1993.

12.

Mügge A. , Daniel WG , Frank G., et al : Echocardiography in infective endocarditis: Reassessment of prognostic implications of vegetation size determined by the transthoracic and the transesophageal approach J Am Coll Cardiol 14:631-638, 1989.

13.

(In one series, embolic events were observed only in patients with vegetations greater than 5 mm; see Stafford WJ , Petch J. , Radford, DJ : Vegetations in infective endocarditis Br Heart J 53:310-313, 1985.)