Madkaiker Ashish, Krishna Neethu, Kumaraswamy Natarajan, Varma Praveen
Amrita Institute of Medical Sciences and Research Centre, Cochin, Kerala, India.
BMJ Case Rep. 2016 Nov 1;2016:bcr2016216708. doi: 10.1136/bcr-2016-216708.
Primary percutaneous transluminal coronary angioplasty (PTCA) with the insertion of a stent is a well-established procedure for management of coronary artery disease. Infected pseudoaneurysms following PTCA and stenting are very rare and have poor outcomes if not managed properly. We are presenting a case of a man aged 50 years with infected pseudoaneurysm of the left anterior descending artery following multiple percutaneous interventions for coronary artery disease. In this paper, we have described the presentation, diagnosis and management of this patient and have discussed the aetiology and management options of infected pseudoaneurysm affecting coronary arteries.
冠状动脉疾病的治疗中，插入支架的直接经皮冠状动脉腔内血管成形术（PTCA）是一种成熟的手术。PTCA及支架置入术后发生感染性假性动脉瘤非常罕见，若处理不当，预后较差。我们报告一例50岁男性，在多次经皮冠状动脉介入治疗后发生左前降支感染性假性动脉瘤。本文描述了该患者的临床表现、诊断及治疗，并讨论了累及冠状动脉的感染性假性动脉瘤的病因及治疗选择。
