Acute arterial embolism of aorta and main limb arteries in patients with myocardium infarction
https://doi.org/10.24884/0042-4625-2018-177-5-26-29
Abstract
The objective of the study was to reveal the features of development and clinical course of acute arterial embolism (AAE) of aorta and main limb arteries in patients with myocardium infarction (MI).
Material and methods. Since 1991 until 2018 in the department of cardiovascular surgery of «North-Western State Medical University named after I. I. Mechnikov» 1782 patients with AAE of aorta and main limb arteries were urgently treated. 102 (5.7 %) patients of them waswith acute IM.
Results. In patients with AAE in acute phase of Q-IM the embolism to large profile arteries was typical. AAE led to rapid progression of limb ischemia. The severity of the general condition of patients due to myocardial lesions, and specific complications associated with limb revascularization and ischemic syndrome, significantly influenced the results of treatment. Postoperative mortality reached 38.8 %.
Conclusion. AAE of aorta and main limb arteries is a threatening complication of acute MI, and it significantly worsens prognosis.
About the Authors
M. V. Melnikov
Federal State Budgetary Educational Institution of Higher Education «North-Western State Medical University named after I.I. Mechnikov», of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
A. P. Makhnov
Federal State Budgetary Educational Institution of Higher Education «North-Western State Medical University named after I.I. Mechnikov», of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
N. I. Glushkov
Federal State Budgetary Educational Institution of Higher Education «North-Western State Medical University named after I.I. Mechnikov», of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
A. V. Sotnikov
Federal State Budgetary Educational Institution of Higher Education «North-Western State Medical University named after I.I. Mechnikov», of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
G. N. Gorbunov
Federal State Budgetary Educational Institution of Higher Education «North-Western State Medical University named after I.I. Mechnikov», of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Yu. V. Kisil
Federal State Budgetary Educational Institution of Higher Education «North-Western State Medical University named after I.I. Mechnikov», of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
G. D. Papava
Federal State Budgetary Educational Institution of Higher Education «North-Western State Medical University named after I.I. Mechnikov», of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
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Review
For citations:
Melnikov M.V., Makhnov A.P., Glushkov N.I., Sotnikov A.V., Gorbunov G.N., Kisil Yu.V., Papava G.D. Acute arterial embolism of aorta and main limb arteries in patients with myocardium infarction. Grekov's Bulletin of Surgery. 2018;177(5):26-29. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-5-26-29
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