Ruptured mycotic coronary artery aneurysm hybrid treatment with covered stent and surgical debridement.

破裂的霉菌性冠状动脉瘤混合治疗与覆膜支架和手术清创术。

• 发表时间: 2023 Oct
• 来源期刊: J Cardiol Cases
• DOI: 10.1016/j.jccase.2023.05.008
• PMID: 37818433
• 文章类型: Case Reports
• 作者列表: Suenaga A,Tazaki J,Tatsushima S,Fujita T,Hara N,Tsuji S,Iseda T,Kimura T,Shibamori Y,Nomura S,Yoshida A,Hatamura M,Sakamoto R,Hirao S,Kanemitsu N,Toyofuku M

关键词: Covered stents; Mycotic coronary aneurysm; Percutaneous coronary intervention; Phased surgery

Abstract

We present a case of a ruptured mycotic coronary aneurysm effectively treated with covered stents and phased surgery. The covered stent, however, became occluded two years later. Because of the low invasiveness, a covered stent treatment may be advantageous over conventional surgery but trade off long-term vascular patency.
UNASSIGNED: To recognize the presence of a ruptured infectious coronary aneurysm after a primary coronary stenting for ST-elevation myocardial infarction.To discuss the treatment strategies for a ruptured infectious coronary aneurysm with a covered stent.

摘要

我们介绍了一例细菌性冠状动脉瘤破裂的病例，该病例采用覆膜支架和分阶段手术有效治疗。覆膜支架,然而,两年后被封堵。由于低侵入性，覆膜支架治疗可能优于传统手术，但要权衡长期血管通畅性。
■认识到在ST段抬高型心肌梗死的初次冠状动脉支架置入术后是否存在破裂的感染性冠状动脉瘤。目的探讨带覆膜支架的感染性冠状动脉瘤破裂的治疗策略.