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

被引：3

作者：

Miyake, Keisuke ^{[1
,2
]}

Kikuchi, Shinsuke ^{[1
]}

Kitani, Yuya ^{[3
]}

Koya, Atsuhiro ^{[1
]}

Takeuchi, Toshiharu ^{[3
]}

Hasebe, Naoyuki ^{[3
]}

Sawa, Yoshiki ^{[2
]}

Azuma, Nobuyoshi ^{[1
]}

机构：

[1] Asahikawa Med Univ, Dept Vasc Surg, 2-1 Midorigaoka Higashi, Asahikawa, Hokkaido 0788510, Japan

[2] Osaka Univ, Dept Cardiovasc Surg, Grad Sch Med, Osaka, Japan

[3] Asahikawa Med Univ, Dept Internal Med, Div Cardiol Nephrol Resp & Neurol, Asahikawa, Hokkaido, Japan

来源：

ANNALS OF VASCULAR DISEASES | 2018年 / 11卷 / 03期

关键词：

acute limb ischemia; myocardial infarction; hemodialysis;

D O I：

10.3400/avd.cr.18-00059

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

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.

引用

页码：361 / 364

页数：4

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