Akutní končetinová ischemie při konkomitantní systémové a plicní embolizaci
| Title in English | Acute limb ischemia in concomitant systemic and pulmonary embolization |
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| Authors | |
| Year of publication | 2020 |
| Type | Article in Periodical |
| Magazine / Source | Cor et Vasa Case Reports |
| MU Faculty or unit | |
| Citation | |
| Web | http://www.cksonline.cz/coretvasa-case-reports/clanky.php?p=detail&id=112&pid=1296 |
| Keywords | Acute limb ischemia; Persistent foramen ovale; Pulmonary embolism; Thrombolysis |
| Description | Acute limb ischemia due to paradoxical embolization is considered a rare event. It occurs under specific circumstances when a patient with persistent foramen ovale / atrial septal defect suffers from arterial embolism by vein thrombosis. In this report we demonstrate a case of a 28-year-old woman hospitalized for dyspnea and severe pain in both lower limbs. She was diagnosed with massive pulmonary embolism and multiple occlusions in the arterial bed of both lower limbs. The patient was successfully treated with systemic thrombolysis followed by surgical thromboembolectomy which led to a complete recovery of the affected limbs. Furthermore, other feasible treatment strategies and therapeutic interventions of acute limb ischemia, as well as the long-term preventive measures of recurrent embolization events in this context, are discussed. |