Constantin Andrei Rusali, Lucia Cojocaru, Ioana Caterina Șerbanescu, Valentin Scupra, Daniela Iurco
{"title":"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。","authors":"Constantin Andrei Rusali, Lucia Cojocaru, Ioana Caterina Șerbanescu, Valentin Scupra, Daniela Iurco","doi":"10.1093/ehjcr/ytae532","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Stent fractures are a rare complication of angioplasties and are an unusual substrate for coronary abscesses.</p><p><strong>Case summary: </strong>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.</p><p><strong>Discussion: </strong>Coronary stent fracture is a rare complication which can be life-threatening and which can lead to severe sequelae.</p>","PeriodicalId":0,"journal":{"name":"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500811/pdf/","citationCount":"0","resultStr":"{\"title\":\"Case report: intracoronary stent fracture complicated with coronary abscess and fistulization into the pericardium.\",\"authors\":\"Constantin Andrei Rusali, Lucia Cojocaru, Ioana Caterina Șerbanescu, Valentin Scupra, Daniela Iurco\",\"doi\":\"10.1093/ehjcr/ytae532\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Stent fractures are a rare complication of angioplasties and are an unusual substrate for coronary abscesses.</p><p><strong>Case summary: </strong>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.</p><p><strong>Discussion: </strong>Coronary stent fracture is a rare complication which can be life-threatening and which can lead to severe sequelae.</p>\",\"PeriodicalId\":0,\"journal\":{\"name\":\"\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0,\"publicationDate\":\"2024-09-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500811/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1093/ehjcr/ytae532\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/10/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/ehjcr/ytae532","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Case report: intracoronary stent fracture complicated with coronary abscess and fistulization into the pericardium.
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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