Department of Pathology, University of Alabama at Birmingham, Birmingham, AL 35294-0019, USA.
Cardiovasc Pathol. 2013 May-Jun;22(3):e19-21. doi: 10.1016/j.carpath.2012.12.007. Epub 2013 Mar 7.
Covered stents are the standard of care when coronary perforations complicate percutaneous coronary interventions and have also been utilized in the treatment of coronary aneurysms. We present the clinical and histologic features of a patient who developed a coronary perforation and pseudoaneurysm 4 years following deployment of intracoronary stents. Although the covered stent successfully sealed the perforation, subsequent thrombosis led to a fatal acute myocardial infarction.
覆膜支架是经皮冠状动脉介入治疗中处理冠状动脉穿孔并发症的标准治疗方法，也已用于治疗冠状动脉瘤。我们报告了一位患者的临床和组织学特征，该患者在冠状动脉支架置入 4 年后发生冠状动脉穿孔和假性动脉瘤。尽管覆膜支架成功封堵了穿孔，但随后的血栓形成导致了致命性急性心肌梗死。
