Meckel's diverticulum ischemia caused by thromboembolism after coronary artery bypass grafting.

Katz MG; Shimonov M; Sukmanov O

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Meckel's diverticulum ischemia caused by thromboembolism after coronary artery bypass grafting.

机译：冠状动脉搭桥术后血栓栓塞引起的梅克尔憩室缺血。

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A 75-year-old woman underwent emergency coronary artery bypass surgery after acute anterior wall myocardial infarction. Because of the presence of a local peritonitis, an emergency laparotomy was performed in which necrotizing Meckel's diverticulum was found and resected. Microscopically, sections through the diverticulum revealed a fresh thrombus occluded the arterial lumen of diverticulum. The patient had an uneventful postoperative course. We believe that the cause of Meckel's diverticulum ischemia was the development of atrial fibrillation with left atrium thrombus formation followed by embolic obliteration of Meckel's diverticulum feeding artery.

机译：一名75岁的女性在急性前壁心肌梗死后接受了紧急冠状动脉搭桥手术。由于局部腹膜炎的存在，进行了紧急剖腹手术，发现并切除了坏死的梅克尔憩室。显微镜下，通过憩室切片显示新鲜血栓阻塞了憩室的动脉腔。病人的术后过程平稳。我们认为，Meckel憩室缺血的原因是房颤的发展，左心房血栓形成，随后Meckel憩室供血动脉被栓塞闭塞。

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《Journal of cardiac surgery.》 |2009年第6期|共3页
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Katz MG; Shimonov M; Sukmanov O;
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机译：冠状动脉搭桥术后血栓栓塞引起的梅克尔憩室缺血。
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Meckel's diverticulum ischemia caused by thromboembolism after coronary artery bypass grafting.

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