Document Detail


Regurgitation of fat and marrow emboli into coronary veins during resuscitation.
MedLine Citation:
PMID:  1987916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three groups of patients were examined at autopsy for the presence of fat and marrow emboli in the lungs, heart, and other organs. Group 1 was composed of patients with massive pulmonary thromboembolism and attempted cardiopulmonary resuscitation; group 2, patients with pulmonary thromboembolism and without attempted cardiopulmonary resuscitation; and group 3, patients without pulmonary thromboembolism and with attempted cardiopulmonary resuscitation. The results confirm that pulmonary fat and marrow emboli are frequent in those patients who are resuscitated. A novel observation is the finding of multiple coexistent cardiac venous emboli in those resuscitated patients who have pulmonary artery obstruction with pulmonary thromboemboli. These findings suggest that these emboli regurgitate from the right side of the heart to the coronary sinus and cardiac veins in cases of pulmonary artery hypertension.
Authors:
V M Walley; M M Guindi; W A Stinson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pathology & laboratory medicine     Volume:  115     ISSN:  0003-9985     ISO Abbreviation:  Arch. Pathol. Lab. Med.     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-02-15     Completed Date:  1991-02-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7607091     Medline TA:  Arch Pathol Lab Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  65-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Pathology, University of Ottawa, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Bone Marrow / pathology*
Coronary Thrombosis / pathology*,  physiopathology
Coronary Vessels / pathology
Embolism, Fat / pathology*,  physiopathology
Female
Humans
Male
Middle Aged
Pulmonary Embolism / pathology,  physiopathology
Resuscitation / adverse effects*

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


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