Coronary Stent Restenosis in a Patient with Sepsis Caused by Pseudomonas Aeruginosa. Case Report
Authors:   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Aranda Marcos García , Calixto Estanislao Antonio ,   Department of Clinical Cardiology. National Institute of Cardiology "Ignacio Chávez", Mexico City, Mexico, García Josué Isaac Olarte ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Galindo Meza Karla Ruth ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Mayorquín Tania Dennise Gómez ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, de la Cruz Alfredo Bautista ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Perez Cruz Ana Gabriela ,   Department of Clinical Cardiology. Department of Clinical Cardiology. IMSS UMAE Specialty Hospital 14 National Medical Center ¨Adolfo Ruiz Cortines¨, Veracruz, Mexico, Sosa Yunelly Paola Sarmiento ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Villalobos Rolando Castellanos ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Ibarra Moisés Rodríguez ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Aranda Héctor García ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Gutiérrez Susana Patricia Díaz ,   Department of Clinical Cardiology. Department of Clinical Cardiology. IMSS UMAE Specialty Hospital 14 National Medical Center ¨Adolfo Ruiz Cortines¨, Veracruz, Mexico, Navarrete Jessica Ariatna Carreto ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Herrera Nestor Alonso Cerino ,   Department of Internal Medicine. High Specialty Regional Hospital of Veracruz SESVER, Mexico, Hernández Julia Inés Obregón ,   Department of Clinical Cardiology. Department of Clinical Cardiology. IMSS UMAE Specialty Hospital 14 National Medical Center ¨Adolfo Ruiz Cortines¨, Veracruz, Mexico
Published: July 2023

Coronary artery disease is a major global health problem, leading to the accumulation of atheromatous plaque within the tunica intima of the coronary artery, limiting blood perfusion throughout the heart. To restore normal blood flow within the coronary artery, the coronary artery is expanded using a balloon-tipped catheter and a stent is placed. Drug-eluting coronary stents are the most effective option in percutaneous coronary intervention while reducing restenosis. However, the implantation of a stent can cause other complications such as infection and thrombosis. The case of a 51-year-old man is presented, who presents a picture of oppressive chest pain intensity 10/10, radiating to the neck and left scapula, an electrocardiogram with ST-segment depression in V3-V6 is performed, coronary angiography is performed with coronary artery disease of multiple vessels, stent restenosis of the circumflex and anterior descending artery, with chronic total occlusion of the right coronary artery, saccular aneurysm of the anterior descending artery. At 3 weeks he presented fever spikes and new very high-risk angina events due to dynamic electrocardiographic changes in the anterolateral face, for which blood cultures were taken, resulting positive for Pseudomonas aeruginosa. Complications such as stenosis phenomenon and stent thrombosis occur in approximately 2% of cases, while coronary stent infection occurs in less than 0.1% of cases.