Coil Embolization of a Ruptured Mycotic Coronary Artery Aneurysm in a Pediatric Patient

Maria Niccum; Mudit Gupta; Jonathan J Rome; Michael L O'Byrne

doi:10.1016/j.jaccas.2023.101967

Coil Embolization of a Ruptured Mycotic Coronary Artery Aneurysm in a Pediatric Patient

JACC Case Rep. 2023 Aug 1:21:101967. doi: 10.1016/j.jaccas.2023.101967. eCollection 2023 Sep 6.

Authors

Maria Niccum¹, Mudit Gupta¹, Jonathan J Rome¹, Michael L O'Byrne^{1

2}

Affiliations

¹ Division of Cardiology, The Children's Hospital of Philadelphia, and Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
² Cardiovascular Outcomes, Quality, and Evaluative Research Center and Leonard Davis Institute, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Abstract

Mycotic coronary artery aneurysms are rare but have a high risk of mortality. Traditional management is surgical, but percutaneous intervention can be performed in patients with high surgical risk. In this report, we describe a case of mycotic coronary aneurysm in a pediatric patient successfully managed with percutaneous coil embolization. (Level of Difficulty: Advanced.).

Keywords: congenital heart defect; left-sided catheterization; percutaneous coronary intervention.

Grants and funding

T32 HL007915/HL/NHLBI NIH HHS/United States