Matsumoto M, Konishi Y, Miwa S, Minakata K
Department of Cardiovascular Surgery, Wakayama Red Cross Hospital, Japan.
Ann Thorac Surg. 1998 Mar;65(3):841-2. doi: 10.1016/s0003-4975(98)00007-1.
We report a 24-year-old man with mitral valve endocarditis complicated by acute myocardial infarction due to coronary embolism. Percutaneous transluminal coronary angioplasty and subsequent mitral valve replacement were performed. Postoperative coronary angiography revealed formation of a mycotic aneurysm of the left anterior descending coronary artery at the site of balloon inflation. The patient then underwent successful resection of the aneurysm with coronary artery bypass grafting.
我们报告了一名24岁男性,患有二尖瓣心内膜炎,并因冠状动脉栓塞并发急性心肌梗死。进行了经皮腔内冠状动脉成形术及随后的二尖瓣置换术。术后冠状动脉造影显示在球囊扩张部位形成了左前降支冠状动脉的霉菌性动脉瘤。该患者随后成功接受了动脉瘤切除术及冠状动脉搭桥术。