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非阻塞性全血管镜检查术发现自发性主动脉斑块破裂患者的胆固醇结晶栓塞。

Cholesterol Crystal Embolism in a Patient with Spontaneous Ruptured Aortic Plaques Identified by Non-Obstructive General Angioscopy.

机构信息

Division of Cardiology, Department of Medicine, Nihon University School of Medicine.

Division of Human Pathology, Department of Pathology and Microbiology, Nihon University School of Medicine.

出版信息

Int Heart J. 2024;65(3):586-590. doi: 10.1536/ihj.23-559.

Abstract

Cholesterol crystal (CC) embolism is a disease in which CCs from atherosclerotic lesions embolize peripheral arteries, causing organ dysfunction. In this case, a patient with spontaneously ruptured aortic plaques (SRAPs) identified by non-obstructive general angioscopy (NOGA) may have developed a CC embolism. This is the first report of a CC embolism in a patient with SRAPs identified using NOGA, which further supports the previously speculated pathogenesis of CC embolism due to SRAPs.

摘要

胆固醇结晶(CC)栓塞是一种疾病,其中来自动脉粥样硬化病变的 CC 栓塞外周动脉,导致器官功能障碍。在这种情况下,通过非阻塞性全血管镜(NOGA)识别的自发性破裂主动脉斑块(SRAP)患者可能发生了 CC 栓塞。这是首例使用 NOGA 识别的 SRAP 患者发生 CC 栓塞的报告,进一步支持了先前推测的由于 SRAP 导致 CC 栓塞的发病机制。

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