Atheroemboli Complicating the Pre- and Postoperative Course of Aortocoronary Bypass (The Trash Heart): Case Report with Comment

AUTOR(ES)

Parsonnet, Victor

RESUMO

A fatal instance of myocardial atheroembolization is described. Analysis suggests two and perhaps three separate episodes of embolization: the first occurred spontaneously about 2 weeks before admission, the second occurred intraoperatively, and it is possible that a third occurred immediately postoperatively. Intraoperative manipulations were additive to the earlier episode of spontaneous embolization. The descriptive terminology, “trash heart,” is suggested.

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