title: Atheroemboli complicating the pre- and postoperative course of aortocoronary bypass (the trash heart): case report with comment.
abstract: 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.
authors.affiliation: Department of Surgery, Newark Beth Israel Medical Center, Newark, New Jersey 07112, USA.
authors.forename: V
authors.initials: V
authors.lastname: Parsonnet
authors.forename: J C
authors.initials: JC
authors.lastname: Norman
authors.forename: M
authors.initials: M
authors.lastname: Bhatti
authors.forename: I
authors.initials: I
authors.lastname: Gielchinsky
authors.forename: M S
authors.initials: MS
authors.lastname: Hochberg
authors.forename: S M
authors.initials: SM
authors.lastname: Hussain