Rare Source of Embolism in a Young Patient: Case Report and Literature Review.
Marianna VachalcováMonika JankajováMarta JakubováKarolina Angela SieradzkaTibor PorubänGabriel ValočikPeter ŠafárDaniela OndušováJán PetrušIngrid SchusterováPublished in: Journal of clinical medicine (2022)
We present a case of a 31-year-old patient, smoker, with no previous medical history, presenting with acute limb ischemia and infarction of the spleen due to peripheral embolism. The source of embolism was thrombi formations in the left ventricular cavity, located in the area of the regional wall motions abnormalities. CT and coronary angiography confirmed the total occlusion of the left anterior descending artery with collateralization. The patient underwent acute bilateral embolectomy of the iliac, femoral, and popliteal arteries. Subsequently, cardiothoracic surgery was indicated with coronary bypass surgery and extirpation of left ventricular masses, later confirmed as thrombus by pathology characteristics. Hematological examinations proved homozygous thrombophilia, and the patient was indicated for lifelong anticoagulation therapy.
Keyphrases
- case report
- left ventricular
- minimally invasive
- liver failure
- heart failure
- healthcare
- acute myocardial infarction
- coronary artery bypass
- computed tomography
- magnetic resonance imaging
- atrial fibrillation
- coronary artery disease
- respiratory failure
- mitral valve
- stem cells
- magnetic resonance
- venous thromboembolism
- aortic stenosis
- pulmonary embolism
- mesenchymal stem cells
- image quality
- intensive care unit
- acute coronary syndrome
- drug induced
- smoking cessation
- acute respiratory distress syndrome
- dual energy