LIMB ISCHAEMIA AND MULTISYSTEM DYSFUNCTION AS A CONSEQUENCE OF CHOLESTEROL EMBOLIZATION SYNDROME

Following a Coronary artery bypass graft and insertion of an intra-aortic balloon pump, the 63 year-old male patient developed signs of progressive multi-organ dysfunction and ischaemic changes in both of his lower limbs. The diagnosis of cholesterol embolization syndrome was made. This condition ha...

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Bibliographic Details
Published in:Pakistan Armed Forces medical journal 2021-04, Vol.71 (2), p.714-15
Main Authors: Faisal, Mohammad Jamal, Arif, Anum, Bhatti, Ahsin M
Format: Article
Language:English
Subjects:
Abdomen
Anticoagulants
Care and treatment
Cholesterol
cholesterol crystal embolizaton
cholesterol emboli
Conflicts of interest
Diabetes
digital ischaemia
Embolization
intra-aortic balloon pump
Ischemia
Pancreatitis
plaque rupture
Thrombocytopenia
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Summary:Following a Coronary artery bypass graft and insertion of an intra-aortic balloon pump, the 63 year-old male patient developed signs of progressive multi-organ dysfunction and ischaemic changes in both of his lower limbs. The diagnosis of cholesterol embolization syndrome was made. This condition has been noted to be a complication of invasive procedures and endovascular therapies, and is often overlooked and difficult to treat. While the patient’s renal function and pancreatitis showed improvement, the lower limb ischaemia was progressing. Eventually, the patient underwent a bilateral below knee amputation.
ISSN:0030-9648
2411-8842
DOI:10.51253/pafmj.v71i2.4345