Abstract
Coronary stent infection is considered to be a rare but catastrophic complication
of percutaneous coronary intervention. In this report, we present a 72-year-old man
who developed a coronary stent infection complicated by coronary aneurysm and purulent
pericarditis. Coronary artery aneurysm resolved over a period of 8 months following
the successful management of infection with intensive antibiotic therapy alone. This
case suggests that conservative therapy can be a therapeutic option in patients with
high operative risks.
Résumé
L’infection d’endoprothèse coronarienne est considérée comme une complication rare,
mais catastrophique, de l’intervention coronarienne percutanée. Dans le présent rapport,
nous présentons le cas d’un homme de 72 ans qui a subi un anévrisme coronarien et
une péricardite purulente après avoir contracté une infection d’endoprothèse coronarienne.
L’anévrisme de l’artère coronaire s’est résorbé sur une période de 8 mois après une
prise en charge efficace de l’infection par antibiothérapie intensive seule. Ce cas
suggère que le traitement conservateur est une option thérapeutique chez les patients
qui sont exposés à des risques opératoires élevés.
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References
- Infections of intravascular bare metal stents: a case report and review of literature.Eur J Vasc Endovasc Surg. 2014; 47: 87-99
- Coronary artery stent infection presenting as coronary cameral fistula: a case report.Eur Heart J Case Rep. 2018; 2: yty067
- Coronary stent infections: a case report and literature review.Tex Heart Inst J. 2012; 39: 884-889
Article info
Publication history
Published online: January 20, 2020
Accepted:
January 8,
2020
Received:
November 24,
2019
Footnotes
See page 967.e3 for disclosure information.
Identification
Copyright
© 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
