Division of Cardiology, Cardiovascular and Heart Rhythm Center, Shin-Koga Hospital, Japan.
Intern Med. 2021 May 1;60(9):1403-1407. doi: 10.2169/internalmedicine.5790-20. Epub 2020 Nov 30.
Infected pseudo coronary artery aneurysm (CAA) is extremely rare, and currently, there is no established treatment. We experienced a rare case of an infected pseudo CAA brought on due to a stent fracture. Following prolonged successful antimicrobial administration, which proved effective in successfully treating the patient, we performed coronary stent graft placement. Although a surgical procedure should fundamentally be the first course of action considered in such cases, when there are concerns as to the degree of invasiveness, our strategy represents a viable option.
感染性假性冠状动脉瘤(CAA)极为罕见,目前尚无既定的治疗方法。我们遇到了一例罕见的因支架断裂引起的感染性假性 CAA 病例。经过长期成功的抗菌药物治疗,成功治愈了患者,随后我们进行了冠状动脉支架移植术。虽然在这种情况下,手术应该是首选治疗方法,但当存在对侵袭性程度的担忧时,我们的策略是一种可行的选择。