Left Anterior Descending Coronary Stent Infection and Pseudoaneurysm.

BACKGROUND

Coronary stent infection is a rare complication with a high mortality rate. We report a case of left anterior descending artery coronary stent infection and pseudoaneurysm that was successfully managed with timely intervention.

CASE SUMMARY

A middle-aged man who underwent a recent percutaneous coronary intervention (PCI) presented with fever and ischemic chest pain. Coronary angiography diagnosed coronary stent infection and pseudoaneurysm. The patient underwent successful emergency coronary artery bypass graft surgery with pseudoaneurysm resection and was successfully discharged.

DISCUSSION

Coronary stent infection is a rare complication with only 79 reported cases but still should be considered in the differential diagnosis of patients with persistent fever after PCI because timely diagnosis helps in achieving successful outcome.

TAKE-HOME MESSAGE: This case highlights that diagnosis of coronary stent infection requires a high degree of suspicion, and multimodality imaging helps in confirmation of diagnosis, early detection of life-threatening complications, and appropriate timely intervention.