ArticleJACC. Case reports2025
Acute Coronary Stent Infection With Pseudoaneurysm Formation and Stent Separation After Percutaneous Coronary Intervention.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Coronary stent infection causing perforation and thrombotic occlusion after early post-PCI methicillin-resistantEuropean heart journal. Case reports · 2026Article
- Preparation and Characterization of PCL/PEO-PVP ECM-Mimicking Coaxial Electrospun Membranes Loaded with Ciprofloxacin and Curcumin for Sequential Dual-Drug Release.Biomimetics (Basel, Switzerland) · 2026Article
- Stent-Related Infective Endocarditis Revealing Aortic Cusp Perforation on Intraoperative TEE: A Case Report Altering Surgical Strategy.Annals of cardiac anaesthesia · 2026Article
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Authors and funding
8 authors.
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Abstract
clinical conditionWe present a case of an extremely rare condition of acute stent infection in a patient with multiple previous coronary interventions who underwent a successful percutaneous coronary intervention for chronic total occlusion with stent implantation in his right coronary artery. He developed fever the day after the procedure, and blood culture showed growth of Staphylococcus aureus. Positron emission tomography-computed tomography showed fluorodeoxyglucose uptake in relation to the right coronary artery stent, and follow-up computed tomography showed the development of a pseudoaneurysm and suspicion of stent separation. KEY QUESTIONS: Is the S aureus bacteremia in his blood culture related to the procedure? What do positron emission tomography-computed tomography findings indicate? Can the devolvement of a pseudoaneurysm cause stent separation? OUTCOME: After a broad multidisciplinary discussion and fear of pseudoaneurysm rupture with lethal outcomes, a successful open-heart surgery was performed, involving the removal of the pseudoaneurysm and stents. The patient is currently doing well with only mild symptoms. TAKE-HOME MESSAGES: The current work highlights the importance of close surveillance of patients presenting with signs and symptoms of septicemia after coronary intervention. It also underscores the value of a broad and dynamic multidisciplinary discussion and action during the management of such a rare complication with mycotic coronary aneurysms.
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