Atheroemboli complicating the pre- and postoperative course of aortocoronary bypass (the trash heart): case report with comment.
A fatal instance of myocardial atheroembolization is described. Analysis suggests two and perhaps three separate episodes of embolization: the first occurred spontaneously about 2 weeks before admission, the second occurred intraoperatively, and it is possible that a third occurred immediately postoperatively. Intraoperative manipulations were additive to the earlier episode of spontaneous embolization. The descriptive terminology, "trash heart," is suggested. Operative techniques to prevent embolization are discussed.
Parsonnet
V
V
Department of Surgery, Newark Beth Israel Medical Center, Newark, New Jersey 07112, USA.
Norman
J C
JC
Bhatti
M
M
Gielchinsky
I
I
Hochberg
M S
MS
Hussain
S M
SM