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Ruptured mycotic coronary artery aneurysm hybrid treatment with covered stent and surgical debridement
Akihira Suenaga1, Junichi Tazaki1, Shojiro Tatsushima1
1Department of Cardiology, Japanese Red Cross Wakayama Medical Center, Wakayama City, Japan.
Abstract:
We present a case of a ruptured mycotic coronary aneurysm effectively treated with covered stents and phased surgery. The covered stent, however, became occluded two years later. Because of the low invasiveness, a covered stent treatment may be advantageous over conventional surgery but trade off long-term vascular patency.
Learning Objective:
To recognize the presence of a ruptured infectious coronary aneurysm after a primary coronary stenting for ST-elevation myocardial infarction.To discuss the treatment strategies for a ruptured infectious coronary aneurysm with a covered stent.
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