{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:42:35Z","timestamp":1785325355929,"version":"3.55.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T00:00:00Z","timestamp":1644969600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Infected coronary artery aneurysm with infected pericardial effusion is a very rare complication following percutaneous coronary intervention (PCI) and is associated with high mortality. Management options include open cardiothoracic surgery or non-operative management with pericardiocentesis. The best management option is currently unknown.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 76-year-old man with a background of hypertension, type two diabetes mellitus, chronic kidney disease, and a pacemaker presented with worsening shortness of breath 5 weeks following PCI to the right coronary artery (RCA) for a non-ST elevation myocardial infarction. His blood cultures grew methicillin-sensitive Staphylococcus aureus and he developed progressive renal failure and shortness of breath despite high-dose antibiotics. Echocardiography showed a pericardial effusion with impending tamponade and the patient proceeded urgently for pericardiocentesis. He subsequently developed severe cardiogenic and vasoplegic shock with multi-organ failure. Computed tomography coronary angiography (CTCA) showed an RCA aneurysm. He was conservatively managed with a pericardial window due to being too high risk for cardiac surgery and subsequently made a full recovery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Non-operative management of infected coronary artery aneurysm and infected pericardial effusion resulted in survival and return to baseline function in our patient despite the development of severe shock with multi-organ failure.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac079","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T14:54:53Z","timestamp":1645023293000},"source":"Crossref","is-referenced-by-count":1,"title":["Survival following non-operative management of infected coronary artery aneurysm with infected pericardial effusion complicated by multi-organ failure: a case report"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3575-7682","authenticated-orcid":false,"given":"Timothy","family":"Wareing","sequence":"first","affiliation":[{"name":"Waikato Hospital, Intensive Care Unit, Pembroke Street, Hamilton 3204, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranesh","family":"Jogia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,2,16]]},"reference":[{"key":"2022030213102938600_ytac079-B1","doi-asserted-by":"crossref","first-page":"e99","DOI":"10.1016\/j.jcct.2019.01.018","article-title":"Infected (\u201cMycotic\u201d) coronary artery aneurysm: systematic review","volume":"14","author":"Restrepo","year":"2020","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"2022030213102938600_ytac079-B2","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.hlc.2018.12.004","article-title":"Mycotic coronary aneurysms","volume":"29","author":"Baker","year":"2020","journal-title":"Heart Lung Circ"},{"key":"2022030213102938600_ytac079-B3","doi-asserted-by":"crossref","first-page":"1791","DOI":"10.1016\/j.athoracsur.2012.09.045","article-title":"Coronary aneurysm and purulent pericardial effusion: old disease with an unusual cause","volume":"95","author":"Patel","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"2022030213102938600_ytac079-B4","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1002\/ccd.21804","article-title":"Coronary stent infections: a case series","volume":"73","author":"Schoenkerman","year":"2009","journal-title":"Catheter Cardiovasc Interv"},{"key":"2022030213102938600_ytac079-B5","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1111\/jocs.12530","article-title":"Purulent pericardial effusion and mycotic pseudoaneurysm following insertion of a bare metal stent","volume":"30","author":"Kataoka","year":"2015","journal-title":"J Card Surg"},{"key":"2022030213102938600_ytac079-B6","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1161\/CIRCULATIONAHA.114.008984","article-title":"Mycotic aneurysm of the right coronary artery presenting as infected pericardial effusion","volume":"130","author":"Borgi","year":"2014","journal-title":"Circulation"},{"key":"2022030213102938600_ytac079-B7","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1510\/icvts.2010.257337","article-title":"Infected pseudoaneurysm involving a drug-eluting stent","volume":"12","author":"Furtado","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2022030213102938600_ytac079-B8","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1161\/01.CIR.0000093201.57771.47","article-title":"Nonvalvular cardiovascular device-related infections","volume":"108","author":"Baddour","year":"2003","journal-title":"Circulation"},{"key":"2022030213102938600_ytac079-B9","first-page":"483","article-title":"Coronary stent infection: a rare but severe complication of percutaneous coronary intervention","volume":"135","author":"Kaufmann","year":"2005","journal-title":"Swiss Med Wkly"},{"key":"2022030213102938600_ytac079-B10","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1016\/j.athoracsur.2010.10.075","article-title":"Infected coronary artery pseudoaneurysm after repeated percutaneous coronary intervention","volume":"91","author":"Lim","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"2022030213102938600_ytac079-B11","doi-asserted-by":"crossref","first-page":"2257","DOI":"10.1161\/01.CIR.0000163587.36485.A7","article-title":"Molecular basis of restenosis and drug-eluting stents","volume":"111","author":"Costa","year":"2005","journal-title":"Circulation"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac079\/42540102\/ytac079.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/3\/ytac079\/42674994\/ytac079.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/3\/ytac079\/42674994\/ytac079.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T13:10:53Z","timestamp":1646226653000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac079\/6529392"}},"subtitle":[],"editor":[{"given":"Edoardo","family":"Conte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Rajiv","family":"Rampat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Ivan","family":"Ilic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Annagrazia","family":"Cecere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Rayhan Noah","family":"Saiani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Fabienne","family":"Vervaat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,2,16]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac079","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,3,1]]},"published":{"date-parts":[[2022,2,16]]},"article-number":"ytac079"}}