Department of Cardiology, Inselspital, University Hospital Bern & University of Bern, Bern, Switzerland; Department of Intensive Care Medicine, Inselspital, University Hospital Bern & University of Bern, Bern, Switzerland.
Catheter Cardiovasc Interv. 2014 Jan 1;83(1):E69-72. doi: 10.1002/ccd.25033. Epub 2013 Jul 3.
In a patient with staphylococcus lugdunensis prosthetic aortic valve endocarditis and coronary septic embolism accompanied by antero-lateral myocardial infarction, embolic material was successfully aspirated from the bifurcation of the left anterior descending coronary artery and the first diagonal branch. A good angiographic result was documented six months thereafter when the patient presented with a second complication, pulsatile compression of the left main coronary artery by an abscess cavity originating between the aortic and mitral annulus, leading to congestive heart failure. The patient underwent successful surgical replacement of the aortic valve prosthesis with concomitant patch reconstruction of the annulus as well as tricuspid annuloplasty.
在一名患有金黄色酿脓葡萄球菌人工主动脉瓣心内膜炎和冠状动脉脓毒性栓塞并伴有前外侧心肌梗死的患者中，成功地从左前降支冠状动脉和第一对角支的分叉处抽吸了栓塞物质。六个月后，当患者出现第二个并发症，即脓肿腔起源于主动脉瓣环和二尖瓣环之间，导致左主干冠状动脉搏动性压迫导致充血性心力衰竭时，记录到良好的血管造影结果。患者成功地接受了主动脉瓣假体的手术置换，并同时进行了瓣环修补和三尖瓣环成形术。
