Ann Cardiovasc Surg | Volume 1, Issue 3 | Case Report | Open Access
Dhiren Shah1*, Milan Chag2, Deepa Shah3, Dhaval Naik1, Amit Chandan1, Chintan Sheth1, Niren Bhavsar1, Hiren Dholakiya1 and Parloop Bhatt4
1Department of Cardiac Surgery, CIMS Hospital, India
2Department of Cardiology, CIMS Hospital, India
3Department of Radiology, CIMS Hospital, India
4Department of Pharmacology, L. M. College of Pharmacy, India
*Correspondance to: Dhiren Shah
Fulltext PDFPercutaneous Coronary Intervention (PCI) with drug eluting stent placement is a well-established treatment modality for coronary stenotic lesions. Although infection involving implanted stent is rare, it can occur at any point of time, leading to high morbidity and mortality. We describe a rare case of infected coronary stents complicated with recurrent stent thrombosis, sepsis and myocardial abscess formation after 2 years of PCI. Using multi-modality imaging final diagnoses to evaluate the precise location, extent and morphology of Myocardial Abscess (MA) was done. “On pump” Coronary Artery Bypass Graft (CABG) was performed, Left Anterior Descending (LAD) artery intramyocardially was opened up, about 7 ml to10 ml of pus was evacuated and 2 Drug Eluting Stents (DES) were removed. The isolated identified organism was Pseudomonas aeruginosa which had remained dormant and restricted to the stent area for almost 2 years thinning the myocardium; an unusual trait of a very virulent bacterium which otherwise spreads fast to cause septicemia. The present case exemplifies the high index of clinical sensitivity with early multi-modality diagnosis, aggressive medical therapy, multidisciplinary care and timely surgical intervention saving the patient’s life in otherwise fatal condition.
Stent infection; Myocardial abscess; Cardiac magnetic resonance imaging; Positron emission tomography
Shah D, Chag M, Shah D, Naik D, Chandan A, Sheth C, et al. A Late Coronary Stent Infection: Its Diagnosis and Surgical Treatment-A Case Report. Ann Cardiovasc Surg. 2018; 1(3): 1013.