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Cardiac and extra-cardiac pathologies in patients with acute arterial occlusion

Kaygin, Mehmet Ali; Halici, Umit; Tort, Mehmet; Yildiz, Ziya; Dag, Ozgur.
Rev. Assoc. Med. Bras. (1992) ; 65(11): 1368-1373, Nov. 2019. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1057071
SUMMARY

OBJECTIVE:

We aimed to investigate cardiac and extra-cardiac pathologies in patients who were operated for acute arterial occlusion.

METHODS:

Between March 2010 and March 2018, a total of 120 patients who underwent surgical treatment for acute arterial occlusion were included in this retrospective study.

RESULTS:

84 (70%) and 27 (22. 5%) of the patients had cardiac and extra-cardiac pathologies, respectively. In 9 (7. 5%) of the cases, no reason for arterial occlusion could be found. Pure atrial fibrillation was found in 39 (32. 5%) patients. Atrial fibrillation and cardiac valvular pathologies were detected in 45 patients (37. 5%). Among those with a cardiac valvular pathology, 9 patients (7. 5%) had pure mitral stenosis, 21 patients (17. 5%) had moderate to advanced mitral stenosis with tricuspid regurgitation, 9 patients (7. 5%) had 20-30 mitral regurgitation with 30 tricuspid regurgitation, 3 patients (2. 5%) had moderate mitral stenosis, 30-40 tricuspid regurgitation and 20-30 aortic stenosis, and 3 patients (2. 5%) had 30 mitral regurgitation, 10- 20 tricuspid regurgitation, calcific moderate aortic stenosis, and coronary artery disease. Among those 27 patients with an extra-cardiac pathology, 21 patients (22. 5%) had peripheral artery disease, 3 patients (2.5%) had an abdominal aortic aneurysm, and 3 patients (2. 5%) had Behçet's Disease.

CONCLUSION:

Cardiac and extra-cardiac pathologies should be kept in mind in patients with acute arterial occlusion. Thus, detected pathologies could be treated, and the development of additional peripheral emboli could be prevented.
Biblioteca responsable: BR1.1