病例报告：冠状动脉内支架断裂并发冠状动脉脓肿及心包瘘形成。
Case report: intracoronary stent fracture complicated with coronary abscess and fistulization into the pericardium.
作者信息
Rusali Constantin Andrei, Cojocaru Lucia, Șerbanescu Ioana Caterina, Scupra Valentin, Iurco Daniela
机构信息
Faculty of Medicine, Ovidius University of Constanta, Campus, University Alley, No 1, Building B, 900470 Constanta, Romania.
Constanta County Clinical and Emergency Hospital, Cardiology Clinic, Tomis Boulevard No 145, 3rd floor, 900591 Constanta, Romania.
出版信息
Eur Heart J Case Rep. 2024 Sep 27;8(10):ytae532. doi: 10.1093/ehjcr/ytae532. eCollection 2024 Oct.
BACKGROUND
Stent fractures are a rare complication of angioplasties and are an unusual substrate for coronary abscesses.
CASE SUMMARY
A 63-year-old patient came into the emergency department for ongoing chest pain. The patient had recently undergone coronary stent implantation, 3 months prior. Computed tomography coronary angiography revealed a coronary abscess and stent fracture, with blood effraction into the pericardium. The patient underwent emergency open-heart surgery to clear the infection and perform coronary artery bypass graft surgery. Post-operative outcome was tentatively favourable. The patient suffered acute kidney injury and required haemodialysis.
DISCUSSION
Coronary stent fracture is a rare complication which can be life-threatening and which can lead to severe sequelae.
背景
支架断裂是血管成形术的一种罕见并发症，也是冠状动脉脓肿的不常见病因。
病例摘要
一名63岁患者因持续胸痛进入急诊科。该患者3个月前刚接受冠状动脉支架植入术。计算机断层扫描冠状动脉造影显示冠状动脉脓肿和支架断裂，血液渗入心包。患者接受了急诊心脏直视手术以清除感染并进行冠状动脉旁路移植术。术后初步结果良好。患者出现急性肾损伤，需要进行血液透析。
讨论
冠状动脉支架断裂是一种罕见的并发症，可能危及生命并导致严重后遗症。
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