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Ann Thorac Surg 2012;94:267-268. doi:10.1016/j.athoracsur.2011.12.051
© 2012 The Society of Thoracic Surgeons
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Abdallah K. Alameddine
David Deaton
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Case Reports

Myocardial Abscess 14 Years After Coronary Bypass Grafting

Abdallah K. Alameddine, MD*, Victor K. Alimov, MD, Laurie E. Gianturco, MD, David Deaton, MD

Divisions of Cardiac Surgery and Radiology, Baystate Medical Center, Springfield, Massachusetts

Accepted for publication December 8, 2011.

* Address correspondence to Dr Alameddine, Baystate Medical Center, 759 Chestnut St, Ste 4628, Springfield, MA 01107 (Email: akalameddine{at}gmail.com).

We report the case management of a patient with a methicillin-resistant Staphylococcus aureus intramyocardial abscess adjacent to a previously grafted native right coronary artery. The diagnosis was eventually established by obtaining a gallium scan. This case illustrates the need for maintaining a wide-ranging view of potential causes of bacteremia after cardiac surgery, especially in elderly patients with multiple comorbidities.






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