Highlights a rare but fatal complication of coronary stent implantation involving Pseudomonas aeruginosa infection leading to LAD aneurysm and mitral endocarditis.
Rare fatal Pseudomonas stent complication with endocarditis and aneurysm warrants vigilance; leaves open optimal prevention strategies.
Among systemic infections occurring after percutaneous transluminal coronary angioplasty (PTCA) and coronary stent implantation, septic cardiac complications are rare. We report a new case of infective aneurysm of the left anterior descending coronary artery (LAD) following stent implantation. Infective mitral endocarditis due to Pseudomonas aeruginosa occurring a few weeks after stenting led to search for stent infection. Coronary angiography revealed a saccular aneurysm of the LAD. Despite surgical repair, a fatal outcome resulted.
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Leroy et al. (1996) studied this question.
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