Mycotic aneurysm of the aorta as an unusual complication of coronary angiography.

van der Wal, H; van Geel, P P; de Boer, R A · Eur J Vasc Endovasc Surg · 2008

case_report · Level V

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Abstract

Mycotic aneurysm of the aorta is a rare diagnosis with high mortality. Percutaneous coronary intervention was complicated by bacteraemia with Staphylococcus aureus and a mycotic aortic aneurysm, an unusual complication of coronary angiography. Combining CT and PET scan showed a hotspot in the thoracic aorta. After six months of antibiotic treatment she fully recovered. Repeated CT/PET scanning revealed complete abolishment of the aortic abnormalities. This report suggests that diagnosing and follow-up of aortitis is feasible with combined CT/PET scan and may help in determining choice and duration of therapy.

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