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Ann Thorac Surg 1998;65:841-842
© 1998 The Society of Thoracic Surgeons

Case Reports

Mycotic Aneurysm of the Left Coronary Artery

Masahiko Matsumoto, MD, Yutaka Konishi, MD, Senri Miwa, MD, Kenji Minakata, MD

Department of Cardiovascular Surgery, Wakayama Red Cross Hospital, Wakayama, Japan

Accepted for publication October 20, 1997.

Dr Matsumoto, Department of Cardiovascular Surgery, Wakayama Red Cross Hospital, 4-20 Komatsubara dori, Wakayama 640, Japan.

We report a 24-year-old man with mitral valve endocarditis complicated by acute myocardial infarction due to coronary embolism. Percutaneous transluminal coronary angioplasty and subsequent mitral valve replacement were performed. Postoperative coronary angiography revealed formation of a mycotic aneurysm of the left anterior descending coronary artery at the site of balloon inflation. The patient then underwent successful resection of the aneurysm with coronary artery bypass grafting.




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