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Published on: July 22, 2017
Cardiac and extra-cardiac pathologies in patients with acute arterial occlusion
Mehmet Ali Kaygin1, Umit Halici2, Mehmet Tort3
1Cardiovascular Surgery Department, Erzurum Regional Training and Research Hospital, University of Health Sciences, Erzurum, Turkey.
Insights
Investigating acute arterial occlusion revealed frequent cardiac and extra-cardiac pathologies. Early detection and treatment of these conditions are crucial for preventing further complications like peripheral emboli.
Area of Science:
- Vascular Surgery
- Cardiology
- Internal Medicine
Background:
- Acute arterial occlusion is a critical condition requiring prompt surgical intervention.
- Identifying underlying pathologies is essential for effective management and prevention of recurrence.
Purpose of the Study:
- To investigate the prevalence of cardiac and extra-cardiac pathologies in patients undergoing surgery for acute arterial occlusion.
- To highlight the importance of a comprehensive etiological assessment in these patients.
Main Methods:
- Retrospective study including 120 patients operated for acute arterial occlusion between March 2010 and March 2018.
- Analysis of patient data to identify associated cardiac and extra-cardiac conditions.
Main Results:
- Cardiac pathologies were present in 70% of patients, with atrial fibrillation and valvular diseases being most common.
- Extra-cardiac pathologies were identified in 22.5% of patients, including peripheral artery disease and abdominal aortic aneurysm.
- No identifiable cause was found in 7.5% of cases.
Conclusions:
- Cardiac and extra-cardiac pathologies are frequently associated with acute arterial occlusion.
- Comprehensive evaluation and management of these comorbidities can prevent further embolic events and improve patient outcomes.
Objective:
We aimed to investigate cardiac and extra-cardiac pathologies in patients who were operated for acute arterial occlusion.
Methods:
Between March 2010 and March 2018, a total of 120 patients who underwent surgical treatment for acute arterial occlusion were included in this retrospective study.
Results:
84 (70%) and 27 (22. 5%) of the patients had cardiac and extra-cardiac pathologies, respectively. In 9 (7. 5%) of the cases, no reason for arterial occlusion could be found. Pure atrial fibrillation was found in 39 (32. 5%) patients. Atrial fibrillation and cardiac valvular pathologies were detected in 45 patients (37. 5%). Among those with a cardiac valvular pathology, 9 patients (7. 5%) had pure mitral stenosis, 21 patients (17. 5%) had moderate to advanced mitral stenosis with tricuspid regurgitation, 9 patients (7. 5%) had 20-30 mitral regurgitation with 30 tricuspid regurgitation, 3 patients (2. 5%) had moderate mitral stenosis, 30-40 tricuspid regurgitation and 20-30 aortic stenosis, and 3 patients (2. 5%) had 30 mitral regurgitation, 10- 20 tricuspid regurgitation, calcific moderate aortic stenosis, and coronary artery disease. Among those 27 patients with an extra-cardiac pathology, 21 patients (22. 5%) had peripheral artery disease, 3 patients (2.5%) had an abdominal aortic aneurysm, and 3 patients (2. 5%) had Behçet's Disease.
Conclusion:
Cardiac and extra-cardiac pathologies should be kept in mind in patients with acute arterial occlusion. Thus, detected pathologies could be treated, and the development of additional peripheral emboli could be prevented.
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