Document Detail


MedLine Citation:
PMID:  8701386     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the 77-year-old woman described, atherectomy of a circumflex artery with the Rotablator device was complicated by "no reflow." Ten days later, a 75% right coronary artery stenosis was successfully managed by balloon angioplasty. On the following day, acute closure of this vessel resulted in death. Gross examination of the heart showed features of recent posterior infarction, and microscopic study revealed atheroemboli in myocardial arterioles. We conclude that high-speed pulverization of atherosclerotic plaque can cause clinically significant emboli.
Authors:
M Bowles; W Palko; C Beaver; C Cowley; R Kipperman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  89     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-09-05     Completed Date:  1996-09-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  820-3     Citation Subset:  AIM; IM    
Affiliation:
Galichia Medical Group PA, Wichita, KS 67214, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary
Atherectomy, Coronary / adverse effects*
Coronary Disease / therapy*
Coronary Thrombosis / etiology*,  pathology,  physiopathology
Fatal Outcome
Female
Hemodynamics
Humans
Myocardial Infarction / etiology*,  pathology,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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