Successful surgical treatment of an infected right coronary artery aneurysm-to-right ventricle fistula after sirolimus-eluting stent implantation

被引：12

作者：

Kishida, Ken ^{[1
,2
]}

Nakaoka, Hajime ^{[1
]}

Sumitsuji, Satoru ^{[1
]}

Nakatsuji, Hideaki ^{[1
]}

Ihara, Madoka ^{[1
]}

Nojima, Yuhei ^{[1
]}

Shimomura, Iichiro ^{[2
]}

Nagai, Yoshiyuki ^{[1
]}

机构：

[1] Rinku Gen Med Ctr, Dept Cardiol, Suita, Osaka, Japan

[2] Osaka Univ, Grad Sch Med, Dept Metab Med, Suita, Osaka, Japan

来源：

INTERNAL MEDICINE | 2007年 / 46卷 / 12期

关键词：

sirolimus-eluting stent; infected aneurysm; fistula; local immunosuppression;

D O I：

10.2169/internalmedicine.46.6459

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The development of infected coronary aneurismal fistula following stenting seems exceedingly rare. A sirolimus-eluting stent (SES) was implanted in a 70-year-old male patient for acute coronary syndrome. His fever persisted despite treatment with adapted antibiotics. Coronary angiography and 16-multidetector row computed tomography demonstrated the huge right coronary aneurysm forming a fistula to the right ventricle. The aneurysm was excised by surgical treatment. Histopathological examination of the resected mass revealed leucocyte infiltration at the stent site, which lead to the diagnosis of mycotic aneurysm. SESs may play a potential role in locally blunting the innate response to bacterial agents.

引用

页码：865 / 871

页数：7

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