A rare case of fatal multi-organ polymer graft material and cholesterol embolization following aortic repair.
Cardiovasc Pathol
; 50: 107287, 2021.
Article
in En
| MEDLINE
| ID: mdl-32937188
ABSTRACT
Ischemia is a common complication of various endovascular procedures including endovascular aortic aneurysm repair. Multiple mechanisms can contribute to the pathogenesis of ischemia thrombosis, arterial dissection, graft malpositioning, cholesterol embolization, and polymer graft embolization which is an underrecognized complication. To the best of our knowledge, only 38 cases of polymer graft embolization have been reported in the literature. The phenomenon has been reported in different organs including brain, heart, lungs, kidneys, bowel, liver, and skin. We report a unique case of fatal simultaneous cholesterol and polymer graft embolization with subsequent ischemic infarction of multiple organs (liver, kidneys, spleen, pancreas, duodenum, and stomach) in a 76-year-old woman following endovascular repair for an enlarging thoracic aortic aneurysm.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood Vessel Prosthesis
/
Foreign-Body Migration
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Aortic Aneurysm, Thoracic
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Embolism, Cholesterol
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Blood Vessel Prosthesis Implantation
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Endovascular Procedures
/
Infarction
/
Multiple Organ Failure
Type of study:
Diagnostic_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Cardiovasc Pathol
Journal subject:
ANGIOLOGIA
/
CARDIOLOGIA
/
PATOLOGIA
Year:
2021
Document type:
Article