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Eur J Cardiothorac Surg 1999;15:215-217
© 1999 Elsevier Science NL

Case report

Severe cutaneous cholesterol emboli syndrome after coronary angiography

^a Department of Dermatology, Istituto Clinico Humanitas, Via Manzoni, 56-20089 Rozzano, Milan, Italy
^b Department of Cardiothoracic Surgery, Istituto Clinico Humanitas, Via Manzoni,56-20089 Rozzano, Milan, Italy

Received 10 August 1998; received in revised form 28 October 1998; accepted 25 November 1998.

^* Corresponding author. Tel.: +39-2-82241; fax: +39-2-8224-4691; e-mail: ingrid.hendrickx@humanitas.it

Cholesterol embolization syndrome is due to dislodgment of cholesterol crystals from the atherosclerotic plaques lining the walls of major arteries resulting in an occlusion of small arteries. We describe a case of severe cutaneous cholesterol emboli syndrome following repeat coronary angiography showing by our observation that this syndrome is often unrecognized or misdiagnosed and that a better evaluation of risks factors in patients undergoing invasive procedures could prevent this severe complication.

Key Words: Cholesterol emboli syndrome • Coronary angiography • Cutaneous emboli

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