Mycotic Left Main Coronary Artery Aneurysm Following Double-Valve Replacement for Active Infective Endocarditis
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概要
- 論文の詳細を見る
A 68-year-old man underwent double-valve replacement (DVR) for active infective endocarditis caused by Enterococcus faecalis. Postoperative coronary angiography (CAG) revealed a saccular aneurysm originating from the distal portion of LMCA with severe stenosis at the ostium of the left anterior descending (LAD) artery and left circumflex artery (LCx). Emergent surgical resection with concomitant coronary artery bypass grafting were performed.Mycotic coronary artery aneurysms have a great tendency to rupture, and this may result in cardiac tamponade and sudden death. Early recognition and prompt surgical intervention is mandatory to minimize those fatal complications.
著者
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Takemura Hirofumi
Department Of General And Cardiothoracic Surgery Graduate School Of Medicine Gifu University
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Matsuno Yukihiro
Department of General and Cardiothoracic Surgery, Division of Organ Pathobiology, Graduate School of Medicine, Gifu University, Gifu, Gifu, Japan
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Fukumoto Yukiomi
Department of General and Cardiothoracic Surgery, Division of Organ Pathobiology, Graduate School of Medicine, Gifu University, Gifu, Gifu, Japan
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Ishida Narihiro
Department of General and Cardiothoracic Surgery, Division of Organ Pathobiology, Graduate School of Medicine, Gifu University, Gifu, Gifu, Japan
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Shimabukuro Katsuya
Department of General and Cardiothoracic Surgery, Division of Organ Pathobiology, Graduate School of Medicine, Gifu University, Gifu, Gifu, Japan
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Takemura Hirofumi
Department of General and Cardiothoracic Surgery, Division of Organ Pathobiology, Graduate School of Medicine, Gifu University, Gifu, Gifu, Japan
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