RESUMO
Acute esophageal necrosis is uncommon in the literature. Its etiology is unknown, although cardiovascular disease, hemodynamic compromise, gastric outlet obstruction, alcohol ingestion, hypoxemia, hypercoagulable state, infection, and trauma have all been suggested as possible causes. A 67-year-old female underwent a coronary angiography (CAG) for evaluation of chest pain. CAG findings showed coronary three-vessel disease. We planned percutaneous coronary intervention (PCI). Coronary arterial dissection during the PCI led to sudden hypotension. Six hours after the index procedure, the patient experienced a large amount of hematemesis. Emergency gastrofibroscopy was performed and showed mucosal necrosis with a huge adherent blood clot in the esophagus. After conservative treatment for 3 months, the esophageal lesion was completely improved. She was diagnosed with acute esophageal necrosis. We report herein a case of acute esophageal necrosis occurring in a patient undergoing percutaneous coronary intervention.
Assuntos
Idoso , Feminino , Humanos , Doença Aguda , Angiografia Coronária , Estenose Coronária/diagnóstico , Doenças do Esôfago/diagnóstico , Esofagoscopia , Esôfago/efeitos dos fármacos , Hemodinâmica , Necrose , Intervenção Coronária Percutânea/efeitos adversos , Valor Preditivo dos Testes , Inibidores da Bomba de Prótons/uso terapêutico , Fatores de Risco , Fatores de Tempo , Resultado do Tratamento , Ultrassonografia de Intervenção , CicatrizaçãoRESUMO
PURPOSE: The purpose of this study is to examine the difference between the below respiratory-frequency oscillations of the pulmonary artery pressure and those of the systemic arterial pressure. METHODS: The subjects in this experiment were patients suffering from ventricular septal defect and having treatment with the cardiac catheterization at Gyeongsang National University Hospital. Signals from pulmonary artery pressure, femoral artery pressure and the respiration of the patients were received for 5 minutes and digitalized and stored into the personal computer. Those data were interpreted and compared by the power spectral analysis method. RESULTS: 1) In case that the mean pulmonary artery pressure was below 30mmHg(n=23), the low frequency, the mid frequency, the respiratory frequency and the total frequency power of the pulmonary artery pressure were 4.17+/-0.65(3.15-5.40), 3.81+/-0.66(2.79-4.96), 6.06+/-0.27(5.57-6.83) and 6.78+/-0.34(6.01-7.36) respectively. And the those of the femoral artery pressure were 5.24+/-0.49(4.46-6.13), 4.27+/-0.57(3.34-5.45), 5.54+/-0.44(4.72-6.13) and 7.44+/-0.51(6.07-7.94). So in all the frequency ranges a significant difference was observed between the pulmonary artery pressure and the systemic blood pressure(p30mmHg), the low frequency oscillation of the pulmonary artery pressure and the respiratory frequency oscillation of the systemic blood pressure were increased, resulting in the same oscillation in the low frequency, the mid frequency, the respiratory frequency and the total frequency. CONCLUSIONS: The magnitude of ossillation of pulmonary artery pressure was very similar to the magnitude of ossilation of systemic arterial pressure in the below-respiratory-frequency when pulmonary artery pressure was high(>30mmHg).
Assuntos
Humanos , Pressão Arterial , Artérias , Pressão Sanguínea , Cateterismo Cardíaco , Cateteres Cardíacos , Artéria Femoral , Comunicação Interventricular , Microcomputadores , Artéria Pulmonar , Valores de Referência , RespiraçãoRESUMO
PURPOSE: The purpose of this study is to examine the difference between the below respiratory-frequency oscillations of the pulmonary artery pressure and those of the systemic arterial pressure. METHODS: The subjects in this experiment were patients suffering from ventricular septal defect and having treatment with the cardiac catheterization at Gyeongsang National University Hospital. Signals from pulmonary artery pressure, femoral artery pressure and the respiration of the patients were received for 5 minutes and digitalized and stored into the personal computer. Those data were interpreted and compared by the power spectral analysis method. RESULTS: 1) In case that the mean pulmonary artery pressure was below 30mmHg(n=23), the low frequency, the mid frequency, the respiratory frequency and the total frequency power of the pulmonary artery pressure were 4.17+/-0.65(3.15-5.40), 3.81+/-0.66(2.79-4.96), 6.06+/-0.27(5.57-6.83) and 6.78+/-0.34(6.01-7.36) respectively. And the those of the femoral artery pressure were 5.24+/-0.49(4.46-6.13), 4.27+/-0.57(3.34-5.45), 5.54+/-0.44(4.72-6.13) and 7.44+/-0.51(6.07-7.94). So in all the frequency ranges a significant difference was observed between the pulmonary artery pressure and the systemic blood pressure(p30mmHg), the low frequency oscillation of the pulmonary artery pressure and the respiratory frequency oscillation of the systemic blood pressure were increased, resulting in the same oscillation in the low frequency, the mid frequency, the respiratory frequency and the total frequency. CONCLUSIONS: The magnitude of ossillation of pulmonary artery pressure was very similar to the magnitude of ossilation of systemic arterial pressure in the below-respiratory-frequency when pulmonary artery pressure was high(>30mmHg).
Assuntos
Humanos , Pressão Arterial , Artérias , Pressão Sanguínea , Cateterismo Cardíaco , Cateteres Cardíacos , Artéria Femoral , Comunicação Interventricular , Microcomputadores , Artéria Pulmonar , Valores de Referência , RespiraçãoRESUMO
No abstract available.