TY - JOUR T1 - Mycotic aneurysm of the distal radial artery after cardiac catheterisation JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-241506 VL - 14 IS - 7 SP - e241506 AU - Audrey B Nguyen AU - Micaela Rosser AU - Scott L Hansen Y1 - 2021/07/01 UR - http://casereports.bmj.com/content/14/7/e241506.abstract N2 - 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. ER -