Constantin Andrei Rusali, Lucia Cojocaru, Ioana Caterina Șerbanescu, Valentin Scupra, Daniela Iurco
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引用次数: 0
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.