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[主动脉冠状动脉移植血管栓塞继发脑缺血。血管造影结果]

[Cerebral ischemia secondary to embolism of an aorto-coronary graft. Angiographic findings].

作者信息

Méndez Domínguez A, Juárez U, Martínez Ríos M A, Quiroz O, Verdejo J

机构信息

Instituto Nacional de Cardiología Ignacio Chávez, INCICH, México, D.F.

出版信息

Arch Inst Cardiol Mex. 1994 May-Jun;64(3):285-9.

PMID:7979820
Abstract

Ischemic stroke during or following cardiac catheterization may be secondary to diverses mechanisms. Formation and detachment of clots in the catheter wall and embolization of a breaked atheromatous lesion are most frequently. The visualization of clots free in the interior of bypass aortocoronary graft is extremely rare and poorly documented. With angiographic evidence we present a case of cerebral acute ischemia secondary to migration of an embolus from a saphenous vein aortocoronary bypass graft. This case shows a different mechanism of cerebral ischemia.

摘要

心脏导管插入术期间或之后发生的缺血性中风可能继发于多种机制。导管壁内血栓的形成和脱落以及破裂的动脉粥样硬化病变的栓塞最为常见。在主动脉冠状动脉搭桥移植物内部游离的血栓可视化极为罕见且记录不足。通过血管造影证据,我们展示了一例因栓子从大隐静脉主动脉冠状动脉搭桥移植物迁移继发脑急性缺血的病例。该病例显示了脑缺血的一种不同机制。

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