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Ann Thorac Surg 2006;81:339-341
© 2006 The Society of Thoracic Surgeons

Case report

Infectious Ductal Aneurysm After Coil Embolization in an Infant

Takeshi Shinkawa, MD * , Masaaki Yamagishi, MD, Keisuke Shuntoh, MD, Katsuji Fujiwara, MD, Taiji Watanabe, MD, Satomi Yoshida, MD

Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan

Accepted for publication September 24, 2004.

* Address correspondence to Dr Shinkawa, Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi, Hirokoji, Kamigyo-ku, Kyoto 602–8566, Japan (Email: newriver{at}koto.kpu-m.ac.jp).

We report a case of ductal aneurysm after transcatheter coil embolization in an infant. The aneurysm was asymptomatic and was not detected until it ruptured during surgical intervention. We suspect that the aneurysm was induced by methicillin-resistant Staphylococcus aureus infection, as the resected aneurysmal wall was severely infiltrated by inflammatory cells and the patient had recurrent methicillin-resistant Staphylococcus aureus infection. We recommend remaining on guard against formation of a ductal aneurysm after coil embolization, especially in patients with associated recurrent bacteremia.




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Neurology, August 7, 2007; 69(6): 613 - 613.
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