Discrepancy between coronary angiography and autopsy finding.
This article presents the case of a 71-year-old man who developed septic shock complicated by acute renal failure. Because of clinical suspicion of myocardial infarction, 24 hours before passing away, the patient had a coronary cineangiography. Limited incidences and views have been used to avoid contrast-induced nephropathy and no significant lesions were founded. However, the autopsy revealed significant stenosis of coronary arteries. This case report discusses the paradox of this finding.
Saxer
Till
T
Intensive Care Unit, Geneva University Hospitals, Geneva, Switzerland.
Burkhardt
Karim
K
Bendjelid
Karim
K
D058186:Acute Kidney Injury; D000368:Aged; D006328:Cardiac Catheterization; D006332:Cardiomegaly / Q000473:pathology; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000473:pathology*; D005355:Fibrosis; D049429:Forensic Pathology; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure; D009206:Myocardium / Q000473:pathology; D011014:Pneumonia / Q000150:complications; D012772:Shock, Septic / Q000209:etiology