Definitive adrenal insufficiency due to bilateral adrenal hemorrhage and primary antiphospholipid syndrome |
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Authors: | P Caron MH Chabannier JP Cambus F Fortenfant P Otal JM Suc |
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Affiliation: | Department of Cardiovascular Surgery, University of Freiburg, Germany. lutter@ch11.ukl.uni-freiburg.de |
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Abstract: | Histologic examination of the human myocardium has been performed several days, weeks, and months after transmyocardial laser revascularization. We performed microscopic examinations 2 hours postoperatively. In addition to the patent channel (diameter, 1 mm) and a 1-to 2-mm rim of necrosis, a 1- to 3-mm zone of myofibrillary degeneration was found. This additional reversible injury immediately after transmyocardial laser revascularization could explain the higher mortality rate in patients with reduced left ventricular function. |
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