Abstract
The authors report a case of symptomatic splenic infarction secondary to cholesterol embolization after coronary artery bypass grafting in a 59-year-old woman. The patient was treated with urgent splenectomy, which was curative. The diagnosis, investigations and management of the condition are discussed.
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References
1.
Perdue
GD
Jr
Smith
RB
. Atheromatous microemboli . Ann Surg
1969 ; 169 : 954 –9 .
2.
Moolenaar
W
Lamers
CB
. Cholesterol crystal embolization and the digestive system . Stand J Gastroenterol
1991 ; 188 (Suppl ): 69 –72 .
3.
Darsee
JR
. Cholesterol embolism: the great masquerader . South Med J
1979 ; 72 : 174 –80 .
4.
Gore
I
Collins
DP
. Spontaneous atheromatous embolization. Review of the literature and a report of 16 additional cases . Am J Clin Pathol
1960 ; 33 : 416 –26 .
5.
Harris
RE
. Spinal cord infarction following intraaortic balloon support . Ann Thorac Surg
1986 ; 42 : 206 –7 .
6.
Hoye
SJ
Teitelbaum
S
Gore
I
Warren
R
. Atheromatous embolization: a factor in peripheral gangrene . N Engl J Med
1959 ; 261 : 128 –31 .
7.
Keon
WJ
Heggtveit
HA
Leduc
J
. Perioperative myocardial infarction caused by atheroembolism . J Thorac Cardiovasc Surg
1982 ; 84 : 849 –55 .
8.
Probstein
JG
Joshi
R
Blumenthal
HT
. Atheromatous embolization. An etiology of acute pancreatitis . Arch Surg
1957 ; 75 : 566 –72 .
9.
Rosansky
SJ
. Multiple cholesterol emboli syndrome . South Med J
1982 ; 75 : 667 –80 .
10.
Zatuchni
J
. The blue toe syndrome with renal atheroembolism and failure . Angiology
1985 ; 36 : 209 –14 .
11.
Blauth
C
Cosgove
D
Webb
B
Atheroembolism from the ascending aorta . J Thorac Cardiovasc Surg
1992 ; 103 : 1104 –12 .
12.
Ohteki
H
Itoh
T
Natsuaki
M
Intraoperative ultrasonic imaging of the ascending aorta in ischemic heart disease . Ann Thorac Surg
1990 ; 50 : 539 –42 .
13.
Cosgrove
D
. Management of the calcified aorta: an alternative method of occlusion . Ann Thorac Surg
1983 ; 36 : 718 –19 .