Amin H, Munt B, Ignaszewski A
Healthy Heart Program, St Paul's Hospital, Vancouver, British Columbia.
Can J Cardiol. 1998 Sep;14(9):1148-50.
Infectious complications of coronary angioplasty and stenting are uncommon. A 70-year-old man is presented who underwent percutaneous transluminal coronary angioplasty (PTCA) and stenting of an occluded left anterior descending artery. This was complicated by Staphylococcus aureus pericarditis with tamponade. He was successfully treated with a closed drainage and antibiotics. This is the first reported case in the literature that documents purulent pericarditis and tamponade following percutaneous revascularization.
冠状动脉血管成形术和支架置入术的感染性并发症并不常见。本文报道了一名70岁男性,其接受了经皮腔内冠状动脉血管成形术(PTCA)并对闭塞的左前降支进行了支架置入。该病例并发了金黄色葡萄球菌性心包炎并伴有心包填塞。通过闭式引流和抗生素治疗,患者获得成功治愈。这是文献中首次报道的经皮血运重建术后发生脓性心包炎和心包填塞的病例。