Laidler NK. Livin' Livedo Loca: Cholesterol embolization syndrome secondary to cardiac angiography. Edorium J Cardiol 2015;2:4–8.
Cholesterol embolization syndrome is a rare but well recognized cause of organ disease. There is no specific therapy for the disorder and treatment is comprised around the supportive care of existing end organ damage and secondary prophylaxis against subsequent episodes of cholesterol embolization.
A case of a 68-year- old female with a history of ischemic heart disease, diabetes, supraventricular tachycardia, hypercholesterolaemia and diverticulitis who presented to hospital twice in three days with two different complaints, abdominal pain and then chest pain. The abdominal pain was dismissed as diverticular pain in lieu of any other evidence and a NSTEMI was found to be the cause of her chest pain. An angiogram was subsequently performed which precipitated an embolic shower causing end organ damage and providing a pathological basis for the patients initial presentation of abdominal pain.
Due to its non-specific presentation cholesterol embolization syndrome is frequently misdiagnosed and undetected. High clinical suspicion is the key to diagnosis.
Angiography, Atheromatous embolization, Blue or Purple toe syndrome, Cholesterol crystal embolization, Complication
Nicholas Kevin Laidler – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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Authors declare no conflict of interest.