Cryptogenic Mycotic Aneurysm of the Right Coronary Artery

Mycotic aneurysm of the left main coronary artery producing acute coronary occlusion and purulent pericarditis

“…Coronary aneurysms of the mycotic variety are extremely rare with approximately 20 cases recorded since the first report in 1812 [1]. All cases were associated with endocarditis or septicemia, with one exception where, like this case, no source of Infection was found at autopsy [2].…”

Repair of Mycotic Coronary Aneurysm without Cardiopulmonary Bypass: Case Report

“…Most acquired coronary artery aneurysms are a result of atherosclerosis. Other causes include Kawasaki disease, vasculitis, dissection, trauma, complications of percutaneous coronary angioplasty, and infections [Safi 1999]. Mycotic aneurysms occur in approximately 2.6% of all aneurysms and in approximately 3% to 15% of cases of endocarditis [Reece 1994, Safi 1999.…”

“…Other causes include Kawasaki disease, vasculitis, dissection, trauma, complications of percutaneous coronary angioplasty, and infections [Safi 1999]. Mycotic aneurysms occur in approximately 2.6% of all aneurysms and in approximately 3% to 15% of cases of endocarditis [Reece 1994, Safi 1999. Fifteen cases of mycotic coronary artery aneurysms have been reported, with the majority diagnosed postmortem [Reece 1994, Osevala 19990].…”

“…Mycotic coronary artery aneurysms are extremely rare and are a subgroup of acquired coronary artery aneurysms. They are associated with myocardial ischemia and infarction, cardiac arrhythmias, pericardial tamponade, and sudden cardiac death [Ebert 1971, McGee 1980, Kalangos 1994, Gebuhrer 1997, Matsumoto 1998, Osevala 1999, Safi 1999. We describe a patient with an acute myocardial infarction as a result of a mycotic coronary artery aneurysm of the left anterior descending (LAD) coronary artery successfully treated by coronary artery bypass grafting with aneurysm ligation and resection without the use of cardiopulmonary bypass.…”

Role of Delayed Tc-99m HMPAO Labeled Leukocyte Scintigraphy In the Diagnosis of Coronary Mycotic Aneurysm

“…Radionuclide leukocyte labeling studies have been used in several cardiovascular and vascular graft infections. [1][2][3][4][5][6][7][8] …”