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Case report: intracoronary stent fracture complicated with coronary abscess and fistulization into the pericardium

Year: 2024

Type: article

Abstract: Background: Stent fractures are a rare complication of angioplasties and are an unusual substrate for coronary abscesses. Case summary: A 63-year-old patient came into the emergency department for ongoing chest pain. The patient had recently undergone coronary stent implantation, 3 months prior. Computed tomography coronary angiography revealed a coronary abscess and stent fracture, with blood effraction into the pericardium. The patient underwent emergency open-heart surgery to clear the infection and perform coronary artery bypass graft surgery. Post-operative outcome was tentatively favourable. The patient suffered acute kidney injury and required haemodialysis. Discussion: Coronary stent fracture is a rare complication which can be life-threatening and which can lead to severe sequelae.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytae532

Authors: Constantin Andrei Rusali, Lucia Cojocaru, Ioana Caterina Șerbanescu, Valentin Scupra, Daniela Iurco

Institution: Ovidius University

Language: English

Topic: Coronary Interventions and Diagnostics

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $819