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合并局限性破裂的霉菌性右冠状动脉瘤的处理

Management of a Mycotic Right Coronary Artery Aneurysm With Contained Rupture.

作者信息

McNamara Nicholas J, Plunkett Brian T

机构信息

Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, New South Wales, Australia.

Sydney Medical School, The University of Sydney, New South Wales, Australia.

出版信息

JACC Case Rep. 2022 Jun 1;4(11):694-698. doi: 10.1016/j.jaccas.2022.03.018.

DOI:10.1016/j.jaccas.2022.03.018
PMID:35677799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9168958/
Abstract

Infected coronary artery aneurysm is a rare complication of bacteremia with significant risk of mortality. We describe a case where contained rupture had caused purulent pericarditis and an alternative surgical approach to management was required as aortocoronary bypass grafting was unfeasible. ().

摘要

感染性冠状动脉瘤是菌血症的一种罕见并发症，具有显著的死亡风险。我们描述了一例病例，其中局限性破裂导致了脓性心包炎，由于无法进行主动脉冠状动脉旁路移植术，因此需要采用另一种手术方法进行治疗。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/880d6fef11c8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/c47026676d9b/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/a3ffbfe17bb1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/4458e52ed4c0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/31f1cf9f920b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/11ccebbaa906/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/880d6fef11c8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/c47026676d9b/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/a3ffbfe17bb1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/4458e52ed4c0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/31f1cf9f920b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/11ccebbaa906/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/9168958/880d6fef11c8/gr5.jpg

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本文引用的文献

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Infected ("Mycotic") coronary artery aneurysm: Systematic review.感染性（“真菌性”）冠状动脉瘤：系统综述。
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Mycotic coronary aneurysms.真菌性冠状动脉瘤。
J Cardiovasc Med (Hagerstown). 2019 Jan;20(1):10-15. doi: 10.2459/JCM.0000000000000734.
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Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty.冠状动脉成形术后巨大未破裂霉菌性冠状动脉瘤的成功管理。
破裂性真菌性冠状动脉瘤。
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Infective endocarditis complicated by mycotic aneurysm of a coronary artery with a perforated mitral valvular aneurysm.感染性心内膜炎合并冠状动脉霉菌性动脉瘤及穿孔性二尖瓣动脉瘤。
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Asian Cardiovasc Thorac Ann. 2006 Aug;14(4):331-2. doi: 10.1177/021849230601400413.
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Mycotic aneurysm of the left coronary artery.左冠状动脉霉菌性动脉瘤。
Ann Thorac Surg. 1998 Mar;65(3):841-2. doi: 10.1016/s0003-4975(98)00007-1.
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