Matsuno Yukihiro, Fukumoto Yukiomi, Ishida Narihiro, Shimabukuro Katsuya, Takemura Hirofumi
Department of General and Cardiothoracic Surgery, Division of Organ Pathobiology, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Japan.
Ann Thorac Cardiovasc Surg. 2013;19(1):70-2. doi: 10.5761/atcs.cr.11.01805. Epub 2012 May 15.
A 68-year-old man underwent double-valve replacement (DVR) for active infective endocarditis caused by Enterococcus faecalis. Postoperative coronary angiography (CAG) revealed a saccular aneurysm originating from the distal portion of LMCA with severe stenosis at the ostium of the left anterior descending (LAD) artery and left circumflex artery (LCx). Emergent surgical resection with concomitant coronary artery bypass grafting were performed.Mycotic coronary artery aneurysms have a great tendency to rupture, and this may result in cardiac tamponade and sudden death. Early recognition and prompt surgical intervention is mandatory to minimize those fatal complications.
一名68岁男性因粪肠球菌引起的活动性感染性心内膜炎接受了双瓣膜置换术（DVR）。术后冠状动脉造影（CAG）显示一个囊状动脉瘤起源于左主干（LMCA）远端，左前降支（LAD）动脉和左旋支动脉（LCx）开口处有严重狭窄。遂进行了急诊手术切除并同期进行冠状动脉旁路移植术。霉菌性冠状动脉瘤极易破裂，这可能导致心脏压塞和猝死。早期识别并迅速进行手术干预对于将这些致命并发症降至最低至关重要。
