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CASE REPORT
Year : 2018  |  Volume : 2  |  Issue : 2  |  Page : 115-117

Early detection of a potentially fatal complication of coronary stent implantation using transthoracic two-dimensional-echocardiography


Department of Cardiology, TNMC and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Rajendra Vishwambhar Chavan
Add: No. 18 ICCU, Department of Cardiology, Ground Floor OPD Building, OPP Casualty Department, TNMC and BYL Nair Charitable Hospital, Mumbai - 400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiae.jiae_75_17

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The number of coronary stent (CS) implantation has significantly increased since its introduction in 1987. CS infection is a rare but potentially fatal complication. No imaging modality is confirmatory for diagnosing CS infection. Positive blood cultures, two-dimensional-echocardiography (especially transesophageal echocardiography), transthoracic echocardiography (TTE), coronary angiography, computed tomography-scan, and magnetic resonance imaging are useful. We report a case of a 65-year-old male who presented within a month of CS implantation with high-grade fever and chest pain. TTE showed a localized collection in the right atrioventricular groove clinching the diagnosis to CS infection. The patient responded to higher doses of broad-spectrum antibiotics which were continued for 6 weeks.


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