感染冠状动脉动脉瘤:PCI的一个不寻常的并发症
Aishwarya Harikrishnan1, Madan Kumar Sathyanarayanan2, Sanjeeb Kumar Agrawal3
1James Cook University Hospital, Middlesbrough, UK.
JACC. Case reports
|January 17, 2026
概括
经皮肤冠状动脉干预 (PCI) 后感染冠状动脉动脉瘤很少见. 及时诊断和手术干预导致一个患有药物释放支架并发症的患者的急剧改善.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
背景情况:
- 冠状动脉动脉瘤是皮肤冠状动脉干预 (PCI) 的不常见后果.
- 受感染的冠状动脉动脉瘤代表了一种更为罕见且可能危及生命的并发症.
研究的目的:
- 呈现PCI后感染冠状动脉动脉瘤的罕见病例.
- 要突出与这种并发症相关的诊断和管理挑战.
主要方法:
- 一名41岁的男性最近有PCI病史,出现了减肥,胸痛和发烧的症状.
- 诊断成像包括心声回声和心脏MRI揭示了一个心脏质量与in-situ支架.
- 经过抗生素治疗后,对受感染的动脉瘤,支架和周围组织进行了外科切除.
主要成果:
- 患者在PCI后3个月呈现持续症状.
- 手术管理包括移除动脉瘤,支架和炎症组织.
- 手术后恢复的标志是显著的临床改善.
结论:
- 感染冠状动脉动脉瘤是PCI的罕见但严重的并发症.
- 虽然生物降解型支架可能与动脉瘤更相关,但药物排泄型支架也可能参与其中.
- 管理需要多学科的方法,根据具体情况做出决定.
相关概念视频
Aneurysm III: Interprofessional Care
255
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...
255
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
363
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
363
Aneurysm I: Introduction
370
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...
370
Cardiac Catheterization II: Right Heart Catheterization
839
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
839
Cardiac Catheterization I: Pre-Procedure Overview
1.1K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
1.1K
Acute Coronary Syndrome I: Introduction
828
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
828


