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Ruptured mycotic coronary artery aneurysm hybrid treatment with covered stent and surgical debridement.

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.

SUBMITTER: Suenaga A

PROVIDER: S-EPMC10562108 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Ruptured mycotic coronary artery aneurysm hybrid treatment with covered stent and surgical debridement.

Suenaga Akihira A Tazaki Junichi J Tatsushima Shojiro S Fujita Takanari T Hara Noriko N Tsuji Shuhei S Iseda Takahiro T Kimura Tomoya T Shibamori Yuichiro Y Nomura Shinnosuke S Yoshida Akinori A Hatamura Miyu M Sakamoto Ryo R Hirao Shingo S Kanemitsu Naoki N Toyofuku Mamoru M

Journal of cardiology cases 20230616 4

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.<h4>Learning objective</h4>To recognize the presence of a ruptured infectious coronary aneurysm after a primary coronary stenting for ST-elevation myocardial infarction.To dis ...[more]

PMID: 37818433

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