RESUMO
Coronary stent dislodgement is a rare but critical complication of percutaneous coronary intervention. It can potentially result in serious consequences, such as stent embolization and emergent coronary artery bypass graft surgery. Here, we describe the successful retrieval of an extracoronary dislodged stent, where dislodgement was induced by a vasodilator used for severe coronary artery spasm caused by Kounis syndrome.
Assuntos
Vasoespasmo Coronário/tratamento farmacológico , Migração de Corpo Estranho , Stents/efeitos adversos , Vasodilatadores/efeitos adversos , Idoso , Anestésicos Locais/efeitos adversos , Vasoespasmo Coronário/etiologia , Remoção de Dispositivo , Hipersensibilidade a Drogas/complicações , Humanos , Lidocaína/efeitos adversos , Masculino , Vasodilatadores/administração & dosagemRESUMO
A 65-year-old woman developed fever and dyspnea and visited the emergency department of our hospital. On arrival she was hypoxic, and chest CT showed bilateral centrilobular nodules, infiltrative shadows and bronchial wall thickening. Gram staining wasn't performed on admission, and the urinary antigen-detection test for Streptococcus pneumoniae couldn't be performed because the patient has suffered from anuria caused by renal failure. Therefore, we conducted S. pneumoniae antigen test (RAPIRUN® Streptococcus pneumoniae) using sputum sample, then rapidly diagnosed pneumococcal pneumonia due to the positive result of the rapid test. RAPIRUN® Streptococcus pneumoniae is considered to be useful in the differential diagnosis of pneumonia, especially for patients who are unable to urinate or on the facilities that Gram stain cannot be carried out timely.
