# An Unseen Challenge: Mycotic Pseudoaneurysm Emerges in the Wake of Everolimus-Eluting Stent Deployment

## TL;DR

A rare case of a mycotic pseudoaneurysm following a heart stent procedure is reported, highlighting the need for early detection and treatment.

## Contribution

This case report adds to the understanding of mycotic pseudoaneurysm following everolimus-eluting stent deployment.

## Key findings

- A 75-year-old male developed a mycotic pseudoaneurysm in the RCA after PCI.
- Surgical clipping and graft implantation led to a successful outcome.
- Early recognition is crucial for improving survival in such cases.

## Abstract

This case report presents a unique instance of mycotic pseudoaneurysm in the proximal right coronary artery (RCA) following percutaneous coronary intervention (PCI) in a 75-year-old male with a complex medical history. Despite successful initial intervention and resolution of bacteremia, the patient presented three months later with recurrent anginal symptoms. The diagnostic evaluation revealed a mycotic pseudoaneurysm in the RCA, leading to surgical clipping and graft implantation. The successful surgical outcome underscores the critical role of early recognition and intervention in enhancing patient survival. This case contributes valuable insights into the diagnostic intricacies and therapeutic nuances of mycotic pseudoaneurysm, reinforcing the importance of maintaining a heightened index of suspicion, particularly in patients with a history of coronary interventions.