Ben Messaoud Mejdi, Bouchahda Nidhal, Mahjoub Marouane, Hmida Badii, Dridi Zohra, Gamra Habib
Cardiology A Department, Fattouma Bourguiba University Hospital, Monastir, Monastir, Monastir, 5000, Tunisia.
Radiology Department, Fattouma Bourguiba University Hospital, Monastir, Monastir, Monastir, 5000, Tunisia.
F1000Res. 2019 Jun 12;8:853. doi: 10.12688/f1000research.19067.1. eCollection 2019.
Coronary artery stent infection with mycotic aneurysm is a rare life-threatening complication following coronary angioplasty, usually requiring surgical intervention. Reaching and confirming the diagnosis remains the most challenging aspect of this complication. We describe an unusual case of bare metal stent infection and coronary artery aneurysm in the setting of tricuspid valve infective endocarditis, resulting in ST elevation myocardial infarction, with a favorable outcome after primary angioplasty and antibiotic therapy. In the current era of growth of coronary stent implantation, it's important for clinicians to consider and to prevent such potentially fatal events. The diagnosis process remains difficult and requires the association of multiple clinical, biological and imaging parameters. Although treatment modalities tend to favor surgery, we showed that coronary angioplasty could be a successful alternative solution.
冠状动脉支架感染合并霉菌性动脉瘤是冠状动脉血管成形术后一种罕见的危及生命的并发症，通常需要手术干预。做出并确诊该并发症是最具挑战性的环节。我们描述了一例在三尖瓣感染性心内膜炎背景下发生的裸金属支架感染和冠状动脉瘤的不寻常病例，该病例导致了ST段抬高型心肌梗死，在进行初次血管成形术和抗生素治疗后取得了良好的结果。在当前冠状动脉支架植入不断增加的时代，临床医生认识并预防此类潜在致命事件非常重要。诊断过程仍然困难，需要综合多种临床、生物学和影像学参数。尽管治疗方式倾向于手术，但我们表明冠状动脉血管成形术可能是一种成功的替代解决方案。
