Pharmacological Thromboprophylaxis after Major Abdominal Surgery: Should the Duration be Individualized?
Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medrang
2022-06-01
|
| Series: | Vascular Specialist International |
| Online Access: | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220016 |
| _version_ | 1828070722816180224 |
|---|---|
| author | Chrysanthi Papageorgopoulou Konstantinos Nikolakopoulos Charalampos Seretis |
| author_facet | Chrysanthi Papageorgopoulou Konstantinos Nikolakopoulos Charalampos Seretis |
| author_sort | Chrysanthi Papageorgopoulou |
| collection | DOAJ |
| description | Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavian-brachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion. |
| first_indexed | 2024-04-11T00:43:22Z |
| format | Article |
| id | doaj.art-3971c72bef494dbda47096a531f99828 |
| institution | Directory Open Access Journal |
| issn | 2288-7970 2288-7989 |
| language | English |
| last_indexed | 2024-04-11T00:43:22Z |
| publishDate | 2022-06-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-3971c72bef494dbda47096a531f998282023-01-06T01:30:03ZengMedrangVascular Specialist International2288-79702288-79892022-06-013810.5758/vsi.220016vsi.220016Pharmacological Thromboprophylaxis after Major Abdominal Surgery: Should the Duration be Individualized?Chrysanthi Papageorgopoulou0Konstantinos Nikolakopoulos1Charalampos Seretis2Department of Vascular Surgery, General University Hospital of Patras, Rio, GreeceDepartment of Vascular Surgery, General University Hospital of Patras, Rio, GreeceDepartment of Vascular Surgery, General University Hospital of Patras, Rio, GreeceChronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavian-brachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220016 |
| spellingShingle | Chrysanthi Papageorgopoulou Konstantinos Nikolakopoulos Charalampos Seretis Pharmacological Thromboprophylaxis after Major Abdominal Surgery: Should the Duration be Individualized? Vascular Specialist International |
| title | Pharmacological Thromboprophylaxis after Major Abdominal Surgery: Should the Duration be Individualized? |
| title_full | Pharmacological Thromboprophylaxis after Major Abdominal Surgery: Should the Duration be Individualized? |
| title_fullStr | Pharmacological Thromboprophylaxis after Major Abdominal Surgery: Should the Duration be Individualized? |
| title_full_unstemmed | Pharmacological Thromboprophylaxis after Major Abdominal Surgery: Should the Duration be Individualized? |
| title_short | Pharmacological Thromboprophylaxis after Major Abdominal Surgery: Should the Duration be Individualized? |
| title_sort | pharmacological thromboprophylaxis after major abdominal surgery should the duration be individualized |
| url | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.220016 |
| work_keys_str_mv | AT chrysanthipapageorgopoulou pharmacologicalthromboprophylaxisaftermajorabdominalsurgeryshouldthedurationbeindividualized AT konstantinosnikolakopoulos pharmacologicalthromboprophylaxisaftermajorabdominalsurgeryshouldthedurationbeindividualized AT charalamposseretis pharmacologicalthromboprophylaxisaftermajorabdominalsurgeryshouldthedurationbeindividualized |