Large mycotic pseudoaneurysm of the left circumflex treated with antibiotics and covered stent.

Nasir Shariff
William Combs MD, Lehigh Valley Health Network
Justin Roberts


Coronary artery mycotic aneurysms are rare complications of infective endocarditis. They are usually managed surgically with excision of the aneurysm. This surgical procedure has high morbidity and mortality. We report a case of a giant mycotic coronary aneurysm following infective endocarditis which was treated with intravenous antibiotics and covered stent. This case highlights a new treatment modality in critically ill patients.