Document Detail

Pulmonary atheroembolism via an AV shunt.
MedLine Citation:
PMID:  17019668     Owner:  NLM     Status:  MEDLINE    
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.
Y Kono; H Takizawa; I Yamaji; T Takada; T Shinohara; S Tanaka; R L McGill
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of vascular access     Volume:  7     ISSN:  1129-7298     ISO Abbreviation:  J Vasc Access     Publication Date:    2006 Jul-Sep
Date Detail:
Created Date:  2006-10-04     Completed Date:  2007-06-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940729     Medline TA:  J Vasc Access     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  139-42     Citation Subset:  IM    
Department of Nephrology, Teine Keijinkai Hospital, Teine-Ku, Sapporo, Japan.
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MeSH Terms
Acute Disease
Aortic Diseases / complications*,  diagnosis*,  pathology
Arteriovenous Shunt, Surgical / adverse effects*
Embolism, Cholesterol / complications,  etiology*,  surgery
Fatal Outcome
Hemoptysis / etiology
Kidney / pathology
Kidney Failure, Chronic / etiology,  therapy
Liver / pathology
Lung / pathology
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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