Successful Simultaneous Revascularization for Acute Limb Ischemia and Concomitant Acute Myocardial Infarction

Acute limb ischemia (ALI) is associated with high morbidity and mortality rates, even with the advent of technical advances. Although myocardial infarction is one of the causes of ALI along with intraventricular thrombus formation and subsequent embolism, ALI with concomitant acute myocardial infarc...

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Detalles Bibliográficos
Autores principales: Miyake, Keisuke, Kikuchi, Shinsuke, Kitani, Yuya, Koya, Atsuhiro, Takeuchi, Toshiharu, Hasebe, Naoyuki, Sawa, Yoshiki, Azuma, Nobuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200629/
https://www.ncbi.nlm.nih.gov/pubmed/30402191
http://dx.doi.org/10.3400/avd.cr.18-00059
Descripción
Sumario:Acute limb ischemia (ALI) is associated with high morbidity and mortality rates, even with the advent of technical advances. Although myocardial infarction is one of the causes of ALI along with intraventricular thrombus formation and subsequent embolism, ALI with concomitant acute myocardial infarction (AMI) is extremely rare. Here, we report a complicated ALI case with concurrent AMI and prolonged limb ischemic duration. The cause may be attributed to thrombosis with atherosclerotic disease of the coronary and peripheral arteries triggered by dehydration. We successfully treated the patient using simultaneous revascularization in a hybrid operating room with the aid of intraoperative hemodialysis for preventing life-threatening reperfusion syndrome.

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