Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula

Dhiren Shah; Kishore Gupta; Dhaval Naik; Niren Bhavsar

doi:10.1016/j.jaccas.2023.102117

Late Presentation of Right Coronary Artery Stent Infection as Left Empyema and Pleuropericardial Fistula

JACC Case Rep. 2023 Nov 15:28:102117. doi: 10.1016/j.jaccas.2023.102117. eCollection 2023 Dec 20.

Authors

Dhiren Shah¹, Kishore Gupta¹, Dhaval Naik¹, Niren Bhavsar²

Affiliations

¹ Department of Cardiac Surgery, Marengo CIMS Hospital, Ahmedabad, India.
² Department of Anaesthesia, Marengo CIMS Hospital, Ahmedabad, India.

Abstract

Coronary stent infection (CSI) is a rare but potentially life-threatening disease, the incidence of which has been on a rise over the past 2 decades. Surgery seems the treatment of choice, providing a definitive diagnosis of CSI and removing the source of infection, repairing aneurysms, and providing bypass vascular grafts if feasible. Thorough evaluation and a multidisciplinary approach lead to detection and a better outcome. We report a patient who presented with symptoms of heart failure and shock, who received a diagnosis of CSI complicated by empyema with pleuropericardial fistula. He was treated by stent removal and decortication.

Keywords: coronary stent infection; empyema; pleuropericardial fistula; right coronary artery stent.

Publication types

Case Reports