冠状动脉支架植入术致死性感染。

O Leroy, E Martin, A Prat, E Decoulx, H Georges, J Guilley, C Beuscart, G Beaucaire
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引用次数: 67

摘要

在经皮冠状动脉腔内成形术(PTCA)和冠状动脉支架植入术后发生的全身感染中,感染性心脏并发症是罕见的。我们报告一个新的病例感染性动脉瘤的左冠状动脉前降支(LAD)植入术后。铜绿假单胞菌引起的感染性二尖瓣心内膜炎在支架置入术后几周发生,导致寻找支架感染。冠状动脉造影显示前LAD有囊状动脉瘤。尽管进行了手术修复,但还是导致了致命的后果。
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Fatal infection of coronary stent implantation.

Among systemic infections occurring after percutaneous transluminal coronary angioplasty (PTCA) and coronary stent implantation, septic cardiac complications are rare. We report a new case of infective aneurysm of the left anterior descending coronary artery (LAD) following stent implantation. Infective mitral endocarditis due to Pseudomonas aeruginosa occurring a few weeks after stenting led to search for stent infection. Coronary angiography revealed a saccular aneurysm of the LAD. Despite surgical repair, a fatal outcome resulted.

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