Mycotic aneurysm of the left anterior descending coronary artery after aortic endocarditis. A case report and brief review of the literature

This report concerns a 29-year-old man with recent Streptococcus viridans endocarditis on a bicuspid aortic valve who was found to have a mycotic aneurysm of the left anterior descending coronary artery and infective erosion and thinning of the posterior wall of the ascending aorta 1.5 to 3.5 cm abo...

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Bibliographic Details
Published in:Texas Heart Institute journal 1994, Vol.21 (3), p.231-235
Main Authors: REECE, I. J, HABIB AL TAREIF, TOLIA, J, KADER SAEED, F. A
Format: Article
Language:English
Subjects:
Adult
Aneurysm, Infected - etiology
Aneurysm, Infected - pathology
Aneurysm, Infected - surgery
Aorta - pathology
Aortic Valve
Biological and medical sciences
Cardiology. Vascular system
Coronary Aneurysm - etiology
Coronary Aneurysm - surgery
Endocardial and cardiac valvular diseases
Endocarditis, Bacterial - complications
Heart
Heart Valve Diseases - complications
Humans
Male
Medical sciences
Streptococcal Infections
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Summary:This report concerns a 29-year-old man with recent Streptococcus viridans endocarditis on a bicuspid aortic valve who was found to have a mycotic aneurysm of the left anterior descending coronary artery and infective erosion and thinning of the posterior wall of the ascending aorta 1.5 to 3.5 cm above the origin of the left coronary artery, a combination of lesions not previously reported. Mycotic aneurysm of the coronary arteries affects less than 1% of patients with infective endocarditis, and there are few reports of the management of these rare lesions. The surgical management of this patient is presented with a brief review of the available literature.
ISSN:0730-2347
1526-6702