Multiple myocardial abscesses secondary to late stent infection

Department

Internal Medicine

Document Type

Article

Publication Title

Cardiovascular Pathology

Abstract

A 53-year-old woman presented to our hospital with dizziness and low-grade fever. She underwent percutaneous coronary intervention to the obtuse marginal artery with a drug-eluting stent 20 months prior to this presentation. Physical examination was remarkable for bradycardia. Electrocardiogram showed a junctional rhythm with heart rate of 35 bpm. Blood and urine cultures were negative. Despite successful urgent pacemaker placement, she had cardiac arrest the following day with unsuccessful cardiopulmonary resuscitation attempt. Cardiac autopsy report revealed multiple abscesses involving the obtuse marginal and left anterior descending arteries as well as the adjacent myocardial regions.

First Page

1

Last Page

2

DOI

10.1016/j.carpath.2017.01.007

Volume

28

Publication Date

5-1-2017

Medical Subject Headings

Abscess (diagnosis, microbiology, therapy); Autopsy; Bradycardia (etiology); Cardiac Pacing, Artificial; Cardiomyopathies (diagnosis, microbiology, therapy); Cardiopulmonary Resuscitation; Drug-Eluting Stents (adverse effects); Fatal Outcome; Female; Heart Arrest (etiology); Humans; Middle Aged; Myocardium (pathology); Percutaneous Coronary Intervention (adverse effects, instrumentation); Prosthesis-Related Infections (diagnosis, microbiology, therapy); Treatment Outcome

PubMed ID

28213312

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