Cryptogenic mycotic aneurysm of the right coronary artery

• Published in: Southern medical journal (Birmingham, Ala.) Vol. 92; no. 1; pp. 67 - 68
• Main Authors: SAFI, J. JR, CASTELLI, J. B, KALIL-FILHO, R, MANSUR, A. J
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 1999
• Subjects: Aneurysm, Infected - complications; Aneurysm, Ruptured - complications; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Coronary Aneurysm - complications; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Fatal Outcome; Heart Diseases - complications; Heart Diseases - pathology; Hematoma - complications; Hematoma - pathology; Humans; Male; Medical sciences; Middle Aged; Pericarditis - complications; Tropical medicine; Human; Aneurysm; Coronary artery; Cardiovascular disease; Coronary heart disease; Arterial disease; Vascular disease; Case study; Pathology; Symptomatology; Histopathology; Tissue rupture; Complication; Evolution; Diagnosis
• ISSN: 0038-4348; 1541-8243
• DOI: 10.1097/00007611-199901000-00013

A 61-year-old man with chest pain and fever was referred to our hospital. The physical examination and electrocardiogram were unrevealing. Laboratory tests showed leukocytosis, and echocardiography showed mild pericardial effusion. The patient died soon after hospital admission. Necropsy revealed ruptured mycotic aneurysm of the right coronary artery in the absence of infective endocarditis. Thus, mycotic aneurysm of the coronary artery may occur without infective endocarditis and may be clinically manifested as pericarditis and leukocytosis.