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经皮介入术后左前降支巨大感染性假性动脉瘤：一种致命并发症。

Giant Infected Pseudoaneurysms of Left Anterior Descending Artery After Percutaneous Intervention: A Fatal Complication.

作者信息

Bose Arghadip, Kumar Basant, Kumar Rupesh, Kumar Rajender, M Gowtham, Negi Sunder

机构信息

Department of Cardiology, Advanced Cardiac Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Cardiovascular and Thoracic Surgery, Advanced Cardiac Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

JACC Case Rep. 2024 Nov 6;29(21):102581. doi: 10.1016/j.jaccas.2024.102581.

DOI:10.1016/j.jaccas.2024.102581
PMID:39619042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11602583/
Abstract

Infected coronary aneurysms are rare in clinical practice and represent a catastrophic complication following percutaneous coronary interventions. A high index of suspicion is imperative in patients presenting with fever a few weeks after percutaneous coronary intervention. Early diagnosis and surgical repair are key to mitigating the morbidity and mortality associated with it.

摘要

感染性冠状动脉瘤在临床实践中较为罕见，是经皮冠状动脉介入治疗后的一种灾难性并发症。对于在经皮冠状动脉介入治疗几周后出现发热的患者，必须保持高度怀疑。早期诊断和手术修复是降低与之相关的发病率和死亡率的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/3b9ec772d239/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/08739dae69ab/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/caf581f52508/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/3981bb19533a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/535543e576d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/3b9ec772d239/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/08739dae69ab/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/caf581f52508/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/3981bb19533a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/535543e576d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa09/11602583/3b9ec772d239/gr4.jpg

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本文引用的文献

1
Mycotic and non-mycotic coronary artery aneurysms-A review of the rarity.霉菌性与非霉菌性冠状动脉瘤——罕见病例综述
J Clin Imaging Sci. 2022 Mar 30;12:13. doi: 10.25259/JCIS_218_2021. eCollection 2022.
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Impact of PET/CT among patients with suspected mycotic aortic aneurysms.疑似真菌性主动脉瘤患者的 PET/CT 的影响。
PLoS One. 2021 Oct 19;16(10):e0258702. doi: 10.1371/journal.pone.0258702. eCollection 2021.
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Mycotic aneurysm of the proximal LAD successfully excluded with covered stents.前降支近端霉菌性动脉瘤通过覆膜支架成功排除。
Int J Cardiovasc Imaging. 2020 Nov;36(11):2299-2300. doi: 10.1007/s10554-020-01930-5. Epub 2020 Aug 1.
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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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Purulent pericardial effusion and mycotic pseudoaneurysm following insertion of a bare metal stent.裸金属支架置入术后发生脓性心包积液和霉菌性假性动脉瘤。
J Card Surg. 2015 May;30(5):433-5. doi: 10.1111/jocs.12530. Epub 2015 Mar 17.
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Infected coronary artery pseudoaneurysm after repeated percutaneous coronary intervention.感染性冠状动脉假性动脉瘤经多次经皮冠状动脉介入治疗后。
Ann Thorac Surg. 2011 Feb;91(2):e17-9. doi: 10.1016/j.athoracsur.2010.10.075.
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Infected pseudoaneurysm involving a drug-eluting stent.累及药物洗脱支架的感染性假性动脉瘤。
Interact Cardiovasc Thorac Surg. 2011 Apr;12(4):636-7. doi: 10.1510/icvts.2010.257337. Epub 2011 Jan 12.
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Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association [corrected].血管和介入放射学操作中成人抗生素预防的实践指南。由介入放射学会实践标准委员会编写，并得到欧洲心血管介入放射学会和加拿大介入放射学会认可[修订版]。
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Coronary artery aneurysms after drug-eluting stent implantation.药物洗脱支架植入术后冠状动脉瘤
JACC Cardiovasc Interv. 2008 Feb;1(1):14-21. doi: 10.1016/j.jcin.2007.10.004.