Mycotic aneurysm of the left anterior descending coronary artery after coronary artery bypass graft surgery.

Mycotic aneurysms of the coronary artery are extremely uncommon and can be very difficult to diagnose. We report a unique case of a mycotic aneurysm of the left anterior descending coronary artery with a history of two-vessel off-pump coronary artery bypass graft surgery 9 months previously. The aneurysmectomy was successful.

Yamamoto Y ，Ushijima T ，Yamaguchi S ，Takata M ，Takago S ，Matsunaga M ，Watanabe G ... -  《-》

Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty.

Coronary artery stent infection has been reported with both bare metal stent and drug eluting stent and can present as mycotic coronary artery aneurysm, pseudoaneurysm, myocardial abscess, pericarditis or exudative effusion. Infection at the site of coronary stent implantation is rare and is believed to result typically from either direct stent contamination at the time of delivery or transient bacteraemia from access site. Introduction of drug-eluting stent (DES) has led to a marked reduction in the problem of in-stent restenosis across all patient subsets and lesions complexities. Recently, several case reports of pseudoaneurysm formation after DES implantation have been reported in the literature. We describe the successful surgical management of giant mycotic pseudoaneurysm of left anterior descending artery (LAD) presenting as fever of unknown origin. This report illustrates the importance of early detection and prompt management of these rare coronary pseudoaneurysms, which is a highly lethal condition.

Aggarwal P ，Saxena P ，Bhan A 《-》

Successful management of an unruptured mycotic coronary aneurysm.

Kapur NK ，Conte JV ，Wittstein IS 《-》

Combined resection of coronary and innominate artery aneurysms.

Coexistent aneurysms of the coronary and inominate arteries are extremely rare. We present the case of a 28-year-old male with an aneurysm of the left anterior descending coronary artery and an aneurysm of the inominate artery presenting with hoarseness and severely depressed left ventricular function (ejection fraction of 25%). He underwent successful surgical resection of both aneurysms. The inominate artery aneurysm was excised and the brachiocephalic trunk was reconstructed off-pump. The coronary artery aneurysm was excised and distal aorto-coronary bypass grafting was done on cardiopulmonary bypass.

Oswal A ，Mehra A ，Karbhase J ，Johari A ，Karatela R ，Shivdasani B ... -  《-》

Massive coronary aneurysm after multiple percutaneous interventions: an iatrogenic or unpreventable disaster?

Chang WT ，Lee CH 《-》