Possible close relationship between non-occlusive mesenteric ischemia and cholesterol crystal embolism after cardiovascular surgery

被引：4
|
作者：
Imanaka, K
Kyo, S
Ban, S
机构：
[1] Saitama Med Sch, Dept Cardiovasc Surg, Moroyama, Saitama 3500495, Japan
[2] Saitama Med Sch, Dept Pathol, Moroyama, Saitama 3500495, Japan
来源：
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 2002年 / 22卷 / 06期
关键词：
cholesterol crystal embolism; non-occlusive mesenteric ischemia; intestinal necrosis; cardiovascular surgery;
D O I：
10.1016/S1010-7940(02)00590-0
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A senile patient developed fatal intestinal necrosis right after uneventful cardiovascular operation using usual cardiopulmonary bypass. Cholesterol crystal embolism (CCE) was demonstrated histologically, but angiograms were typical of non-occlusive mesenteric ischemia (NOMI). Very severe vasoconstriction occurred not only in the superior mesenteric artery but also in other splanchnic arteries. The clinical course strongly suggested that NOMI resulted from CCE and that some Immoral factors were released and played very important roles in this case. (C) 2002 Elsevier Science B.V. All rights reserved.
引用
收藏
页码：1032 / 1034
页数：3
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