自发性胆固醇栓塞。一种罕见报道的病症。
Spontaneous cholesterol embolization. A rarely reported entity.
作者信息
Badawi G, Jebara V A, el Rassi I, Tabet G, el Aylé N, Ashoush R, el Asmar B, Sarkis A
机构信息
Division of Cardiology, Hôtel-Dieu de France, Beirut, Lebanon.
出版信息
Tex Heart Inst J. 1994;21(3):228-30.
Cholesterol embolization sometimes occurs after invasive procedures involving manipulation of the aorta or its major branches, and less commonly occurs after thrombolytic therapy for acute myocardial infarction. Rarer still is spontaneous cholesterol embolization, a case of which we now report. Our patient experienced peripheral embolization, the origin of which was traced to the infrarenal aortic segment and the common iliac vessels. Aortoiliac reconstruction was successful; we believe that surgical management of this condition should be performed in selected cases.
胆固醇栓塞有时发生在涉及主动脉或其主要分支操作的侵入性手术后，在急性心肌梗死溶栓治疗后较少见。更罕见的是自发性胆固醇栓塞，我们现报告一例。我们的患者发生了外周栓塞，其起源追溯至肾下腹主动脉段和双侧髂总血管。腹主动脉髂动脉重建成功；我们认为在特定病例中应进行这种疾病的手术治疗。
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