相关实验视频
Updated: Jun 4, 2026

08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
14.3K
冠状动脉静脉移植支架感染与真菌性动脉瘤形成
Michael Hii1, Richard Lin1, Joseph Waugh1
1Royal Adelaide Hospital, Central Adelaide Local Health Network, SA Health, Adelaide, Australia.
JACC. Case reports
|March 21, 2025
概括
冠状动脉支架感染是心脏手术后罕见但严重的并发症. 使用先进成像和团队方法的早期诊断对于管理这种高死亡率的疾病至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 穿皮冠状动脉干预 (PCI) 是冠状动脉疾病的常见程序.
- 冠状动脉支架感染是PCI后异常罕见的并发症.
- 这种并发症与显著的发病率和死亡率有关.
研究的目的:
- 在PCI后呈现冠状动脉支架感染病例.
- 突出这一罕见并发症的诊断挑战和管理策略.
- 强调多模式成像和多学科方法的重要性.
主要方法:
- 一份病例报告显示,一名75岁的妇女患有非ST段升高心肌梗塞.
- 皮肤冠状动脉干预 (PCI) 进行无故障.
- 通过多模式成像证实了诊断,包括18F-氧葡萄糖正子发射断层扫描-计算机断层扫描 (FDG-PET/CT) 和计算机断层扫描血管扫描 (CTA).
- 血液培养对金黄色葡萄球菌呈阳性.
主要成果:
- 患者出现了感染的迹象和症状.
- 多模式成像证实冠状动脉支架感染.
- 菌性动脉瘤的形成需要重复心脏手术.
- 黄金葡萄球菌被确定为致病原体.
结论:
- 冠状动脉支架感染需要高的怀疑指数来诊断.
- 多模式成像 (例如,FDG-PET/CT,CTA) 对于准确的诊断至关重要.
- 多学科的管理对于最佳的患者结果至关重要.
- 尽管进行了积极的管理,但由于诸如真菌性动脉瘤等并发症,死亡率仍然很高 (18%-44%).
相关概念视频
Anastomoses
In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
Endocarditis I: Introduction
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

