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Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report

While rare, coronary stent infections present with significant mortality—with most infections and further complications occurring within months of percutaneous coronary intervention (PCI). Here, we discuss a post-COVID-19 patient who presented approximately one year after PCI for declotting of an ar...

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Autores principales: Butler, Jean Thompson, Chellappan, Rajeshwari, Litovsky, Silvio, Leal, Sixto M., Benson, Paul V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10171982/
https://www.ncbi.nlm.nih.gov/pubmed/37180570
http://dx.doi.org/10.1155/2023/9998749
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author Butler, Jean Thompson
Chellappan, Rajeshwari
Litovsky, Silvio
Leal, Sixto M.
Benson, Paul V.
author_facet Butler, Jean Thompson
Chellappan, Rajeshwari
Litovsky, Silvio
Leal, Sixto M.
Benson, Paul V.
author_sort Butler, Jean Thompson
collection PubMed
description While rare, coronary stent infections present with significant mortality—with most infections and further complications occurring within months of percutaneous coronary intervention (PCI). Here, we discuss a post-COVID-19 patient who presented approximately one year after PCI for declotting of an arteriovenous graft (AVG). Upon admission, the patient was found to be bacteremic with multilobar pneumonia and an infection of the AVG. Empiric antibiotics were started, and blood cultures were subsequently positive for MRSA. Removal of the AVG was unsuccessful, and two days after admission, the patient passed. Autopsy revealed a perivascular abscess in the RCA near the origin of the stent with a ground section of the RCA with stent revealing abundant calcific atherosclerosis and marked necrosis of the artery wall. The cause of death was determined to be sepsis complicating coronary artery disease and chronic renal failure.
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spelling pubmed-101719822023-05-11 Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report Butler, Jean Thompson Chellappan, Rajeshwari Litovsky, Silvio Leal, Sixto M. Benson, Paul V. Case Rep Pathol Case Report While rare, coronary stent infections present with significant mortality—with most infections and further complications occurring within months of percutaneous coronary intervention (PCI). Here, we discuss a post-COVID-19 patient who presented approximately one year after PCI for declotting of an arteriovenous graft (AVG). Upon admission, the patient was found to be bacteremic with multilobar pneumonia and an infection of the AVG. Empiric antibiotics were started, and blood cultures were subsequently positive for MRSA. Removal of the AVG was unsuccessful, and two days after admission, the patient passed. Autopsy revealed a perivascular abscess in the RCA near the origin of the stent with a ground section of the RCA with stent revealing abundant calcific atherosclerosis and marked necrosis of the artery wall. The cause of death was determined to be sepsis complicating coronary artery disease and chronic renal failure. Hindawi 2023-05-03 /pmc/articles/PMC10171982/ /pubmed/37180570 http://dx.doi.org/10.1155/2023/9998749 Text en Copyright © 2023 Jean Thompson Butler et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Butler, Jean Thompson
Chellappan, Rajeshwari
Litovsky, Silvio
Leal, Sixto M.
Benson, Paul V.
Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report
title Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report
title_full Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report
title_fullStr Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report
title_full_unstemmed Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report
title_short Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report
title_sort coronary stent abscess in the setting of arteriovenous graft infection following covid-19: an autopsy case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10171982/
https://www.ncbi.nlm.nih.gov/pubmed/37180570
http://dx.doi.org/10.1155/2023/9998749
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