Intestinal cholesterol embolism resulting from intra-aortic balloon pumping: a case report

Journal of Medical Case Reports

Arasaki Osamu¹  Masanori Kakazu¹  Satoshi Yamaguchi¹ 

[1] Department of Cardiology, Tomishiro Central Hospital, 25 Ueta, Tomishiro-shi, Okinawa, Japan

关键词: Intestinal necrosis;    Intestinal ischemia;    Cholesterol embolism;    Intra-aortic balloon pumping;   

Others  :  814018
DOI  :  10.1186/1752-1947-8-213

 received in 2013-12-13, accepted in 2014-04-22,  发布年份 2014

【 摘 要 】

Introduction

Intra-aortic balloon pumping is used in elective percutaneous coronary intervention for increasing coronary blood flow. However, intra-aortic balloon pumping may decrease visceral blood flow and cause mesenteric ischemia by visceral artery obstruction.

Case presentation

We report the case of a 79-year-old Asian man in whom elective percutaneous coronary intervention was performed with intra-aortic balloon pumping. He died from mesenteric ischemia 25 hours after the procedure. Microscopic findings showed that intra-aortic balloon pumping had detached the aortic plaque, breaking it into systemic emboli, leading to subsequent intestinal ischemia and necrosis.

Conclusions

We conclude that intra-aortic balloon pumping can cause an intestinal cholesterol embolism.

【 授权许可】

   
2014 Yamaguchi et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

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• [2]Tierney G, Parissis H, Baker M, Austin D, Clelland C, Richens D: An experimental study of intra aortic balloon pumping within the intact human aorta. Eur J Cardiothorac Surg 1997, 12:486-493.
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