Mycotic aneurysm of the aorta as an unusual complication of coronary angiography

Introduction: Mycotic aneurysm of the aorta is a rare diagnosis with high mortality. Report: Percutaneous coronary intervention was complicated by bacteraemia with Staphylococcus aureus and a mycotic aortic aneurysm, an unusual complication of coronary angiography. Combining CT and PET scan showed a hotspot in the thoracic aorta. After six months of antibiotic treatment she fully recovered. Repeated CT/PET scanning revealed complete abolishment of the aortic abnormalities. Discussion: This report suggests that diagnosing and follow-up of aortitis is feasible with combined CT/PET scan and may help in determining choice and duration of therapy. (C) 2008 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved