Department of Cardiology, Handa City Hospital, Handa, Japan; Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Cardiology, Handa City Hospital, Handa, Japan.
Can J Cardiol. 2020 Jun;36(6):967.e1-967.e3. doi: 10.1016/j.cjca.2020.01.007. Epub 2020 Jan 20.
Coronary stent infection is considered to be a rare but catastrophic complication of percutaneous coronary intervention. In this report, we present a 72-year-old man who developed a coronary stent infection complicated by coronary aneurysm and purulent pericarditis. Coronary artery aneurysm resolved over a period of 8 months following the successful management of infection with intensive antibiotic therapy alone. This case suggests that conservative therapy can be a therapeutic option in patients with high operative risks.
冠状动脉支架感染被认为是经皮冠状动脉介入治疗的一种罕见但灾难性的并发症。在本报告中，我们介绍了一位 72 岁男性，他发生了冠状动脉支架感染，并发冠状动脉瘤和化脓性心包炎。在单纯强化抗生素治疗成功控制感染后，冠状动脉瘤在 8 个月内自行消退。该病例提示，对于手术风险高的患者，保守治疗可能是一种治疗选择。
