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Mycotic aneurysm of the distal radial artery after cardiac catheterisation
  1. Audrey B Nguyen,
  2. Micaela Rosser and
  3. Scott L Hansen
  1. Division of Plastic and Reconstructive Surgery, University of California San Francisco, San Francisco, California, USA
  1. Correspondence to Dr Audrey B Nguyen; Audrey.Nguyen{at}ucsf.edu

Abstract

A mycotic aneurysm of the distal radial artery following access for cardiac catheterisation is a rare complication that has not been described in the literature. We present the case of an 84-year-old man who developed bacteraemia and cellulitis over his left first dorsal webspace 2 days after undergoing cardiac catheterisation through the distal radial artery at the anatomic snuffbox. Ultrasound scanning and CT imaging were concerning for a possible pseudoaneurysm at that location. Once we confirmed that the patient had adequate flow through his hand with angiography and an Allen’s test, we explored his left hand and found a mycotic aneurysm of the distal radial artery with surrounding frank purulence. We resected the aneurysm and ligated the artery. Pathology confirmed that this was a mycotic aneurysm. The patient quickly recovered from his infection after this definitive treatment.

  • interventional cardiology
  • infections

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Footnotes

  • Contributors All authors participated in the clinical care and surgery for this patient. The senior author, SLH, was the senior surgeon for this case. The corresponding and first author, ABN, organised the paper, collected the consent and photographs, performed the literature search and drafted and revised the paper. Second author, MR, also contributed to the literature search, drafting and revising the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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