Abstract
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.
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- Befeler B., Aranda M. J., Embi A., Mullin F. L., El-Sherif N., Lazzara R. Coronary artery aneurysms: study of the etiology, clinical course and effect on left ventricular function and prognosis. Am J Med. 1977 Apr;62(4):597–607. doi: 10.1016/0002-9343(77)90423-5. [DOI] [PubMed] [Google Scholar]
- Daniels S. R., Specker B., Capannari T. E., Schwartz D. C., Burke M. J., Kaplan S. Correlates of coronary artery aneurysm formation in patients with Kawasaki disease. Am J Dis Child. 1987 Feb;141(2):205–207. doi: 10.1001/archpedi.1987.04460020095035. [DOI] [PubMed] [Google Scholar]
- Davidson A., Eshaghpour E., Young N., Mintz G. S. Late thrombosis of a coronary artery mycotic aneurysm. Am Heart J. 1991 May;121(5):1549–1550. doi: 10.1016/0002-8703(91)90168-h. [DOI] [PubMed] [Google Scholar]
- Glickel S. Z., Maggs P. R., Ellis F. H., Jr Coronary artery aneurysm. Ann Thorac Surg. 1978 Apr;25(4):372–376. doi: 10.1016/s0003-4975(10)63561-8. [DOI] [PubMed] [Google Scholar]
- RODBARD S. Blood velocity and endocarditis. Circulation. 1963 Jan;27:18–28. doi: 10.1161/01.cir.27.1.18. [DOI] [PubMed] [Google Scholar]