Acute limb ischemia due to paradoxical embolism treated with systemic thrombolysis.
Vnitr Lek
; 66(5): 76-79, 2020.
Article
en En
| MEDLINE
| ID: mdl-32942875
We present a case report of a patient with acute upper and lower limb ischemia due to paradoxical embolism. A 67-year old woman without history of venous thromboembolism suffered dislocated patellar fracture requiring surgery in November 2017. Two months after surgery she presented to the emergency room with bilateral pulmonary embolism, occlusion of the left subclavian artery, left common femoral artery and superior mesenteric artery. Transesophageal echocardiography detected patent foramen ovale. Vascular surgeon decided against embolectomy, interventional radiologist against pharmacomechanical thrombolysis due to the extent of the occlusions. Systemic thrombolysis (alteplase) was administered successfully with resolution of the emboli in the left subclavian artery, left common femoral artery and superior mesenteric artery.
Palabras clave
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Embolia Pulmonar
/
Embolia Paradójica
/
Foramen Oval Permeable
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Vnitr Lek
Año:
2020
Tipo del documento:
Article
Pais de publicación:
República Checa