Successful surgical treatment of a mycotic right coronary artery aneurysm complicated by a fistula to the right atrium

被引：7

作者：

Takahashi Y. ^{[1
,2
]}

Sasaki Y. ^{[1
]}

Shibata T. ^{[1
]}

Bito Y. ^{[1
]}

Suehiro S. ^{[1
]}

机构：

[1] Department of Cardiovascular Surgery, Osaka City University Medical School, Osaka

[2] Department of Cardiovascular Surgery, Osaka City University Medical School, Abeno-ku, Osaka 545-8585

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 2005年 / 53卷 / 12期

关键词：

Mycotic aneurysm; Staphylococcus aureus septicemia;

D O I：

10.1007/BF02665081

中图分类号：

学科分类号：

摘要：

We reported successful surgical treatment of a mycotic right coronary artery aneurysm complicated by a fistula to the right atrium in a 60-year-old man admitted to hospital because of acute worsening of renal function and erythroderma. After admission, he suffered from methicillin-resistant Staphylococcus aureus septicemia. Despite administration of vancomycin hydrochloride, a low-grade fever persisted. Subacute cardiac tamponade occurred three months after admission, and acute inferior wall myocardial infarction occurred two weeks after pericardial drainage. An emergent coronary angiography demonstrated a large saccular aneurysm of the right coronary artery forming a fistula to the right atrium and obstruction of the distal right coronary artery. We emergently resected the aneurysm including the right atrial wall and repaired the defect in the right atrium. Pathological examination of the aneurysmal wall revealed its mycotic nature; the postoperative course was uneventful.

引用

页码：661 / 664

页数：3

共 9 条

[1]

Kalangos A., Julia P.L., Ozler A., Jebara V.A., Fabiani J.N., Sezerman O., Successful surgical treatment of a coronary artery mycotic aneurysm, Ann Thorac Surg, 58, pp. 1521-1523, (1994)

[2]

Cliff M.M., Soulen R.L., Finestone A.J., Mycotic aneurysms - A challenge and a clue. Review of ten-year experience, Arch Intern Med, 126, pp. 977-982, (1970)

[3]

Reece I.J., Al Tareif H., Tolia J., Saeed F.A., Mycotic aneurysm of the left anterior descending coronary artery after aortic endocarditis. A case report and brief review of the literature, Tex Heart Inst J, 21, pp. 231-235, (1994)

[4]

Berkowitz J.M., Lansman S., Fyfe B., Coronary artery mycotic aneurysm following endocarditis of a composite aortic graft - A case report and literature review, Angiology, 49, pp. 145-150, (1998)

[5]

Matsumoto M., Konishi Y., Miwa S., Minakata K., Mycotic aneurysm of the left coronary artery, Ann Thorac Surg, 65, pp. 841-842, (1998)

[6]

Osevala M.A., Heleotis T.L., DeJene B.A., Successful treatment of a ruptured mycotic coronary artery aneurysm, Ann Thorac Surg, 67, pp. 1780-1782, (1999)

[7]

Hartnell G.G., Parnell B.M., Pridie R.B., Coronary artery ectasia. Its prevalence and clinical significance in 4993 patients, Br Heart J, 54, pp. 392-395, (1985)

[8]

Wan S., Leclerc J.L., Vachiery J.L., Vincent J.L., Cardiac tamponade due to spontaneous rupture of right coronary artery aneurysm, Ann Thorac Surg, 62, pp. 575-576, (1996)

[9]

Durack D.T., Infective and noninfective endocarditis, The Heart, Arteries and Veins, pp. 1130-1157, (1990)

← 1 →