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Case Reports
. 2023 Apr 12;16(4):e254488.
doi: 10.1136/bcr-2022-254488.

Ruptured mycotic coronary artery aneurysm

Scott E Janus  1 , Sadeer Al-Kindi  2 , Graham Pollock  3 , Steven Laster  4
Affiliations
Case Reports

Ruptured mycotic coronary artery aneurysm

Scott E Janus et al. BMJ Case Rep. .

Abstract

Aneurysms complicated by rupture of the coronary arteries are exceedingly rare. Literature regarding management of mycotic aneurysms resulting in rupture is limited. Therefore, we describe a fascinating diagnosis, imaging progression and management of a ruptured mycotic coronary artery aneurysm.

Keywords: Infectious diseases; Interventional cardiology; Pericardial disease; Rheumatology; Vasculitis.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
ECG demonstrating atrial fibrillation with ST elevation in I, II and aVL.
Figure 2
Figure 2
(A) Coronary angiogram with patent left main (LM), left anterior descending (LAD) and occluded circumflex (CIRC) with left-to-left collaterals. (B) Large right coronary artery (RCA) aneurysm.
Figure 3
Figure 3
(A) Echocardiogram with moderate pericardial effusion. (B) Subcostal view with moderate pericardial effusion prior to pericardiocentesis. (C) Subcostal view with trivial to mild pericardial effusion after pericardiocentesis. LV, left ventricle; PE, pericardial effusion; RV, right ventricle.
Figure 4
Figure 4
(A) Positron emission showing enhancement within the aorta. (B) Positron emission showing enhancement within the right coronary artery (RCA) aneurysm.
Figure 5
Figure 5
ECG after cardiac resuscitation.
Figure 6
Figure 6
Echocardiogram demonstrating haemorrhagic components in pericardium. LV, left ventricle; PE, pericardial effusion; RV, right ventricle.
Figure 7
Figure 7
Intraoperative photos of right coronary aneurysm rupture.
See this image and copyright information in PMC

References

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