title: [A cholesterol embolism during heparin treatment].
abstract: The cholesterol embolization is a rare complication of atherosclerosis. A direct implication of the treatment with anticoagulants in the etiology of the disease has been questioned, and now such therapy is considered more as an adjuvant factor with angiographic procedures than as a cause. A 60-year-old patient with an ischemic cardiomyopathy presented cholesterol embolization syndrome, confirmed by cutaneous biopsy histologic examination during treatment with heparin. Spontaneous evolution was favourable and only limited amputation of the lower limbs were required. The authors think that cholesterol emboli have a direct relationship to the treatment with heparin in this case, there being no other causes to justify its appearance.
authors.affiliation: Servicio de Cardiología, Hospital Universitario Virgen del Rocío, Sevilla.
authors.forename: F
authors.initials: F
authors.lastname: López Pardo
authors.forename: A
authors.initials: A
authors.lastname: González Barrero
authors.forename: V
authors.initials: V
authors.lastname: Serrano Castro
authors.forename: J
authors.initials: J
authors.lastname: Andreu Alvarez
authors.forename: M
authors.initials: M
authors.lastname: Navarrete Ortega
authors.forename: J
authors.initials: J
authors.lastname: Burgos Cornejo
mesh_terms: D001706:Biopsy; D017700:Embolism, Cholesterol / Q000139:chemically induced* / Q000175:diagnosis / Q000473:pathology; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000188:drug therapy / Q000473:pathology; D012867:Skin / Q000473:pathology; D013997:Time Factors
chemical_list: D006493:Heparin
vernacular_title: Embolismo de colesterol durante el tratamiento con heparina.