| Pulmonary atheroembolism via an AV shunt. | |
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MedLine Citation:
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PMID: 17019668 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although cholesterol crystal embolism can present with diffuse visceral involvement, lung lesions do not occur unless there is left to right circulatory shunting. Pulmonary atheroembolism was confirmed by histology in an elderly male with recent end-stage renal failure (ESRF) due to atheroembolic renal disease, who presented with massive hemoptysis and intractable respiratory failure. At autopsy, atheromatous degeneration of the aorta was observed and acute cholesterol emboli found in the kidneys, spleen, liver, stomach and lung. Cholesterol clefts were seen in pulmonary arterioles, and ischemic alveolar damage was present. The pulmonary arteries had no atheromatous changes. Intrapulmonary, intracardiac, and aortocaval shunting were not present. Pulmonary atheroembolism arising from a dialysis fistula has not been previously reported. |
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Authors:
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Y Kono; H Takizawa; I Yamaji; T Takada; T Shinohara; S Tanaka; R L McGill |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The journal of vascular access Volume: 7 ISSN: 1129-7298 ISO Abbreviation: J Vasc Access Publication Date: 2006 Jul-Sep |
Date Detail:
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Created Date: 2006-10-04 Completed Date: 2007-06-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100940729 Medline TA: J Vasc Access Country: Italy |
Other Details:
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Languages: eng Pagination: 139-42 Citation Subset: IM |
Affiliation:
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Department of Nephrology, Teine Keijinkai Hospital, Teine-Ku, Sapporo, Japan. nana-yuri@mui.biglobe.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged Aortic Diseases / complications*, diagnosis*, pathology Arteriovenous Shunt, Surgical / adverse effects* Embolism, Cholesterol / complications, etiology*, surgery Fatal Outcome Hemoptysis / etiology Humans Kidney / pathology Kidney Failure, Chronic / etiology, therapy Liver / pathology Lung / pathology Male Pulmonary Embolism / complications, etiology*, surgery Renal Dialysis Respiratory Insufficiency / etiology Shock / etiology Spleen / pathology Stomach / pathology Upper Extremity / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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