Artículos de revistas
[significance Of Intramural Vascular Injuries In Myocardial Revascularization. A Case Report].
Registro en:
Arquivos Brasileiros De Cardiologia. v. 54, n. 1, p. 53-5, 1990-Jan.
0066-782X
2264772
Autor
Jorge, P A
Metze, K
Nogueira, E A
Credídio Neto, L
Institución
Resumen
The authors report the case of 59 year-old hypertensive woman, suffering from angina pectoris, who died 24 hours after coronary by pass surgery due to cardiogenic shock. Autopsy revealed a small recent postero-lateral infarction. The venous by pass, however, were inconspicuous. Histologic examination showed extensive microarteriopathy with stenosing intimal fibro-elastosis and hyperplasia of the media, affecting 73% of the vessels with a diameter greater than 150 micra. The authors believe that the diffuse microangiopathy could have affected the myocardial reperfusion, and participated of the mechanical dysfunction. 54 53-5