کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2869705 1171271 2006 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Dissection de l'aorte thoracique révélée par des embolies systémiques de cristaux de cholestérol
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Dissection de l'aorte thoracique révélée par des embolies systémiques de cristaux de cholestérol
چکیده انگلیسی
Systemic cholesterol embolism is a rare complication of atherosclerosis, and has various presentations. Arterial catheterisms are a common cause. However, the association with an aortic dissection has been exceptionally reported. We report the observation of a 70 year-old man, with coronary artery disease, hypertension, diabetes and dyslipidemia. Six months before hospitalization, a coronary angioplasty was performed due to recurrent angina. The association of purpuric lesions on the feet, with acute renal failure confirmed cholesterol embolism syndrome. Transœsophageal echocardiography showed a dissection of the descending thoracic aorta associated with complex atheroma. The evolution was marked by the pulpar necrosis of a toe and by a worsening of the renal failure, requiring definitive hemodialysis. Further echographic control highlighted the rupture of the intimal veil of the dissection. Cholesterol embolism syndrome may reveal an aortic dissection in patients without thoracic symptoms. In such cases, transœsophageal echocardiography is a useful and non-invasive examination.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annales de Cardiologie et d'Angéiologie - Volume 55, Issue 5, October 2006, Pages 300-303
نویسندگان
, , , , , , , , ,