Case report: intracoronary stent fracture complicated with coronary abscess and fistulization into the pericardium.

Pub Date : 2024-09-27 eCollection Date: 2024-10-01 DOI:10.1093/ehjcr/ytae532
Constantin Andrei Rusali, Lucia Cojocaru, Ioana Caterina Șerbanescu, Valentin Scupra, Daniela Iurco
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Abstract

Background: Stent fractures are a rare complication of angioplasties and are an unusual substrate for coronary abscesses.

Case summary: A 63-year-old patient came into the emergency department for ongoing chest pain. The patient had recently undergone coronary stent implantation, 3 months prior. Computed tomography coronary angiography revealed a coronary abscess and stent fracture, with blood effraction into the pericardium. The patient underwent emergency open-heart surgery to clear the infection and perform coronary artery bypass graft surgery. Post-operative outcome was tentatively favourable. The patient suffered acute kidney injury and required haemodialysis.

Discussion: Coronary stent fracture is a rare complication which can be life-threatening and which can lead to severe sequelae.

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病例报告:冠状动脉内支架断裂并发冠状动脉脓肿和心包瘘。
背景:支架断裂是血管成形术的一种罕见并发症,也是冠状动脉脓肿的一种不常见基质。病例摘要:一名 63 岁的患者因持续胸痛来到急诊科就诊。病例摘要:一名 63 岁的患者因持续胸痛来到急诊科就诊,3 个月前刚接受过冠状动脉支架植入术。计算机断层扫描冠状动脉造影显示患者出现冠状动脉脓肿和支架断裂,血液流出到心包。患者接受了紧急开胸手术,以清除感染并进行冠状动脉旁路移植手术。术后效果初步良好。患者出现急性肾损伤,需要进行血液透析:讨论:冠状动脉支架断裂是一种罕见的并发症,可危及生命并导致严重的后遗症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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