Renal failure after embolization of a prosthetic mitral valve disc and review of systemic disc embolization Thomas H. Schwarcz, M.D., Laurence H. Coffin,

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Presentation transcript:

Renal failure after embolization of a prosthetic mitral valve disc and review of systemic disc embolization Thomas H. Schwarcz, M.D., Laurence H. Coffin, M.D., David B. Pilcher, M.D. Journal of Vascular Surgery Volume 2, Issue 5, Pages 697-702 (September 1985) DOI: 10.1016/0741-5214(85)90040-0 Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 CT scan localizes disc (arrow) lodged at level of renal arteries on edge so that it does not occlude distal aortic flow. Journal of Vascular Surgery 1985 2, 697-702DOI: (10.1016/0741-5214(85)90040-0) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Aortogram of present case 5 years after disc embolization, showing disc (between arrows) lodged in abdominal aorta at level of renal arteries. Left renal artery is occluded. Right renal artery (arrow) is severely compromised at its origin. Journal of Vascular Surgery 1985 2, 697-702DOI: (10.1016/0741-5214(85)90040-0) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Disc and thrombus that was adherent to aorta and renal artery orifices. Disc shows excessive wear. Journal of Vascular Surgery 1985 2, 697-702DOI: (10.1016/0741-5214(85)90040-0) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions