Multiorgan emboli due to an intraluminal thrombus from frozen elephant trunk
Multiorgan emboli due to an intraluminal thrombus from frozen elephant trunk
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DOI：
10.1016/j.carpath.2020.107316
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发表时间：
2021-01-14
影响因子：
3.7
通讯作者：
Fukuda, Ikuo
中科院分区：
文献类型：
--
作者：
Imamura, Yuki;Kowatari, Ryosuke;Fukuda, Ikuo
冷冻象鼻的非支架部分扭结对不良反应发生的影响尚不清楚。我们报告一例感染血栓内扭结非支架部分的冷冻象鼻，导致多器官栓塞。一位45岁男性，因高热和乏力1个月就诊。7年前因A型急性主动脉夹层行急诊全弓置换术和冷冻象鼻植入术。计算机断层扫描显示冷冻象鼻的扭结非支架部分内存在管腔内血栓。尸检还显示移植物内存在管腔内血栓，腹部器官中存在弥漫性微栓塞。因此，在该病例中，冷冻象鼻的无支架部分扭结导致了感染的腔内血栓，随后引起多器官栓塞。(c)2020爱思唯尔公司All rights reserved.
The impact of kinking of the nonstented part of a frozen elephant trunk on the development of adverse effects is unclear. We report a case of an infected thrombus within the kinked nonstented portion of the frozen elephant trunk that resulted in multiorgan embolization. A 45-year-old man presented with a 1-month history of high-grade fever and fatigue. He had undergone emergent total arch replacement and frozen elephant trunk implantation for type A acute aortic dissection 7 years previously. Computed tomography showed an intraluminal thrombus within the kinked nonstented portion of the frozen elephant trunk. An autopsy also showed an intraluminal thrombus within the graft and diffuse microembolization in the abdominal organs. Therefore, in this case, kinking of the nonstented part of the frozen elephant trunk had resulted in an infected intraluminal thrombus, which subsequently caused multiorgan embolization.(c) 2020 Elsevier Inc. All rights reserved.