scholarly journals Pulmonary Embolism Complicated by Acute Limb Ischemia Managed by Surgical Pulmonary Embolectomy

Cureus ◽  
2021 ◽  
Author(s):  
Alexandru Marginean ◽  
Jeremiah F Haines ◽  
R. Anthony Perez-Tamayo ◽  
Carlos Bechara ◽  
Amir Darki
Keyword(s):  
Pulmonary Embolism ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Pulmonary Embolectomy

scholarly journals Concomitant Acute Limb Ischemia and Pulmonary Embolism in the Course of SARS-CoV-2 Infection: Case Report

2021 ◽  
Vol 6 (11) ◽  
pp. 831-834
Author(s):  
Mahassine El Harras ◽  
Amal Elouarradi ◽  
Salma Abdeladim ◽  
Fatimazahra Merzouk ◽  
Meryem Kassimi ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Venous Thrombosis ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Significant Morbidity ◽  
Mild Form ◽  
Case Presentation ◽  
Disease Case ◽  
Thrombotic Complications ◽  
Prophylactic Anticoagulation

Background: The new 2019 coronavirus disease (COVID-19) is associated with significant morbidity and mortality. Thrombotic complications are increasingly recognized as an important part of this disease. Thromboprophylaxis with anti-platelet drugs and anticoagulants are recommended in the initial treatment of the disease. Case presentation: We report the case of a patient hospitalized for a mild form of COVID19 pneumonia, who was admitted, one month later, acute limb ischemia and pulmonary embolism despite antithrombotic prophylaxis. Conclusion: Most reported cases are either arterial or venous thrombosis. The concomitant combination of arterial and venous thrombosis is rarely reported. The prophylactic anticoagulation strategy in the SARS- Cov 2 infection is still not well established.

scholarly journals Concomitant Acute Limb Ischemia and Pulmonary Embolism in the Course of SARS-CoV-2 Infection: Case Report

2021 ◽  
Author(s):  
Mahassine El harras ◽  
AMAL ELOUARRADI ◽  
SALMA ABDELADIM ◽  
FATIMAZAHRA MERZOUK ◽  
MERYEM KASSIMI ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Venous Thrombosis ◽  
Initial Treatment ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Significant Morbidity ◽  
Mild Form ◽  
Thrombotic Complications ◽  
Prophylactic Anticoagulation

Abstract Background: The new 2019 coronavirus disease (COVID-19) is associated with significant morbidity and mortality. Thrombotic complications are increasingly recognized as an important part of this disease. Thromboprophylaxis with anti-platelet drugs and anticoagulants are recommended in the initial treatment of the disease.Case presentation: We report the case of a patient hospitalized for a mild form of COVID19 pneumonia, who was admitted, one month later, acute limb ischemia and pulmonary embolism despite antithrombotic prophylaxis. Conclusion: Most reported cases are either arterial or venous thrombosis. The concomitant combination of arterial and venous thrombosis is rarely reported. The prophylactic anticoagulation strategy in the SARS- Cov 2 infection is steel not well established.

scholarly journals Simultaneous acute limb ischemia related to acute Leriche syndrome and pulmonary embolism without existing patent foramen ovale: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying-Sheng Li ◽  
Ying-Ching Li
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Computed Tomography Angiography ◽  
Patent Foramen Ovale ◽  
Pulmonary Arteries ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Foramen Ovale ◽  
Leriche Syndrome ◽  
History Of

Abstract Background Aortoiliac occlusion disease, also called Leriche syndrome, is characterized by atherothrombotic obliteration of the aortic bifurcation and bilateral common iliac arteries; typically, it has a chronic presentation. Pulmonary embolism is more related to venous thromboembolism rather than arterial thromboembolic events. Therefore, cases of simultaneous acute Leriche syndrome and pulmonary embolism are rare. Existing intracardiac right-to-left shunt were detected in most previous cases. Herein, we present the first likely documented case wherein acute Leriche syndrome and pulmonary embolism occurred simultaneously without a patent foramen ovale. Case presentation A 58-year-old man with hyperlipidemia and coronary artery disease presented with a 4-h history of bilateral lower limb numbness. He was a heavy smoker with a history of stroke. Computed tomography angiography revealed pulmonary embolism and aortoiliac artery occlusion. Although a massive thrombus straddled the bilateral pulmonary arteries, orthopnea was his only presentation, without right ventricle failure. Cyanosis of the affected limbs was noted, and muscle strength in both limbs had regressed to grade 1. Owing to acute limb ischemia, he underwent an emergency operation to salvage the limbs. On postoperative day 5, the general condition of both the legs improved; the muscle strength improved to grade 4. He was then transferred to the general ward and enoxaparin was continued. Computed tomography angiography was repeated to evaluate the pulmonary embolism on postoperative day 8; the thrombus remained lodged in the bilateral main pulmonary arteries. Owing to persistent orthopnea and chest tightness with intermittent tachycardia, he underwent a staged operation for the pulmonary embolism on postoperative day 13. During the surgery, intraoperative transesophageal echocardiography showed no patent foramen ovale or an existing right-to-left shunt. Postoperatively, he was closely monitored in the intensive care unit for 3 days and then transferred to the general ward for 10 days. A final computed tomography angiography performed on postoperative day 18 revealed thrombus resolution. He was then discharged on postoperative day 30 without any in-hospital complications. Conclusion We present a case that might be the first documented report of acute Leriche syndrome co-occurring with pulmonary embolism without an existing patent foramen ovale.

ACUTE LIMB ISCHEMIA FOLLOWING EKOS FOR PULMONARY EMBOLISM

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A2215
Author(s):  
Mihir Odak ◽  
Steven Douedi ◽  
Abbas Alshami ◽  
Swapnil Patel
Keyword(s):  
Pulmonary Embolism ◽  
Limb Ischemia ◽  
Acute Limb Ischemia

Acute limb ischemia in a patient with pre-fibrotic myelofibrosis complicated by heparin-induced thrombocytopenia and thrombosis – case report and systematic review of dabigatran use

VASA ◽  
2020 ◽  
pp. 1-6 ◽  
Author(s):  
Marina Di Pilla ◽  
Stefano Barco ◽  
Clara Sacco ◽  
Giovanni Barosi ◽  
Corrado Lodigiani
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Review Of The Literature ◽  
Heparin Induced Thrombocytopenia ◽  
Lower Limb Ischemia ◽  
Vein Thrombosis ◽  
Left Lower Limb

Summary: A 49-year-old man was diagnosed with pre-fibrotic myelofibrosis after acute left lower-limb ischemia requiring amputation and portal vein thrombosis. After surgery he developed heparin-induced thrombocytopenia (HIT) with venous thromboembolism, successfully treated with argatroban followed by dabigatran. Our systematic review of the literature supports the use of dabigatran for suspected HIT.

Endovascular treatment of acute limb ischemia caused by an intravascularly deployed bioabsorbable plug of a vascular closure device

VASA ◽  
2013 ◽  
Vol 42 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Daniel Maxien ◽  
Barbara Behrends ◽  
Karla M. Eberhardt ◽  
Tobias Saam ◽  
Sven F. Thieme ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Limb Ischemia ◽  
Closure Device ◽  
Acute Limb Ischemia ◽  
Vascular Closure Device
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