Invasive Methicillin-Resistant Staphylococcus Aureus Endocarditis Resulting in Right Ventricular Pseudoaneurysm and Fistulation to Previous Bypass Graft.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26140804.
- Also identified by DOI 10.1016/j.athoracsur.2015.03.093.
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Abstract
We describe the case of a 73-year-old man with methicillin-resistant Staphyloccocus aureus (MRSA) endocarditis, which developed into a right ventricular pseudoaneurysm that fistulated into a previous saphenous vein graft to his distal right coronary artery (RCA). The patient was taken for a redo sternotomy, surgical evacuation of the abscess, bovine pericardial patch reconstruction of the right ventricular free wall, and tricuspid valve repair. Despite our best efforts and a repair that appeared sufficient at the time of operation, the patient died of ischemic colitis on postoperative day 5. This case report highlights some of the surgical considerations for such a rare and lethal condition.
Medical subject headings
- Aneurysm, False
- Coronary Artery Bypass
- Endocarditis, Bacterial
- Heart Aneurysm
- Heart Ventricles
- Methicillin-Resistant Staphylococcus aureus
- Postoperative Complications
- Staphylococcal Infections
- Vascular Fistula