Title |
Acute severe non-traumatic muscle injury following reperfusion surgery for acute aortic occlusion: case report
|
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Published in |
International Journal of Emergency Medicine, April 2011
|
DOI | 10.1186/1865-1380-4-20 |
Pubmed ID | |
Authors |
Joseph Y Ting, Arash Dehdary |
Abstract |
Acute aortic occlusion is a rare but catastrophic disease with a high mortality rate. Severe perioperative complications could result from revascularization of infarcted muscles. Muscle cell ischaemia and massive volume cell death lead to the release of myoglobin, potassium, and lactic acid, which could be fatal if not recognised or treated early. We highlight the life-threatening adverse effects resulting from bulk tissue infarction from non-traumatic causes such as aortic occlusion followed by the metabolic sequelae of reperfusion. This is similar to the pathophysiology of traumatic crush injuries and rhabdomyolysis. The case highlights the vigorous pre-emptive treatment of acidosis and hyperkalaemia required during surgical revascularisation to potentially avert adverse surgical outcomes in acute aortic obstruction. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 8 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 3 | 38% |
Student > Ph. D. Student | 2 | 25% |
Other | 1 | 13% |
Student > Doctoral Student | 1 | 13% |
Unknown | 1 | 13% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 4 | 50% |
Biochemistry, Genetics and Molecular Biology | 1 | 13% |
Agricultural and Biological Sciences | 1 | 13% |
Nursing and Health Professions | 1 | 13% |
Unknown | 1 | 13% |