Successful surgical treatment of an infected right coronary artery aneurysm-to-right ventricle fistula after sirolimus-eluting stent implantation.
作者： Ken Kishida , Hajime Nakaoka , Satoru Sumitsuji , Hideaki Nakatsuji , Madoka Ihara
DOI: 10.2169/INTERNALMEDICINE.46.6459
关键词: Ventricle 、 Sirolimus 、 Surgery 、 Fistula 、 Cardiology 、 Right coronary artery 、 Mycotic aneurysm 、 Medicine 、 Aneurysm 、 Acute coronary syndrome 、 Internal medicine 、 Stent
摘要: The development of infected coronary aneurismal fistula following stenting seems exceedingly rare. A sirolimus-eluting stent (SES) was implanted in a 70-year-old male patient for acute syndrome. His fever persisted despite treatment with adapted antibiotics. Coronary angiography and 16-multidetector row computed tomography demonstrated the huge right aneurysm forming to ventricle. excised by surgical treatment. Histopathological examination resected mass revealed leucocyte infiltration at site, which lead diagnosis mycotic aneurysm. SESs may play potential role locally blunting innate response bacterial agents.
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