Rare Source of Embolism in a Young Patient: Case Report and Literature Review
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 mo...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/7/2038 |
| _version_ | 1797438731753357312 |
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| author | Marianna Vachalcová Monika Jankajová Marta Jakubová Karolina Angela Sieradzka Tibor Porubän Gabriel Valočik Peter Šafár Daniela Ondušová Ján Petruš Ingrid Schusterová |
| author_facet | Marianna Vachalcová Monika Jankajová Marta Jakubová Karolina Angela Sieradzka Tibor Porubän Gabriel Valočik Peter Šafár Daniela Ondušová Ján Petruš Ingrid Schusterová |
| author_sort | Marianna Vachalcová |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T11:42:31Z |
| format | Article |
| id | doaj.art-6b036303802144f58edc87a484d564ca |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T11:42:31Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-6b036303802144f58edc87a484d564ca2023-11-30T23:30:24ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01117203810.3390/jcm11072038Rare Source of Embolism in a Young Patient: Case Report and Literature ReviewMarianna Vachalcová0Monika Jankajová1Marta Jakubová2Karolina Angela Sieradzka3Tibor Porubän4Gabriel Valočik5Peter Šafár6Daniela Ondušová7Ján Petruš8Ingrid Schusterová91st Department of Cardiology, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, Slovakia1st Department of Cardiology, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, SlovakiaDepartment of Functional Diagnostic, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, Slovakia1st Department of Cardiology, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, Slovakia1st Department of Cardiology, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, Slovakia1st Department of Cardiology, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, SlovakiaDepartment of Cardiothoracic Surgery, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, SlovakiaDepartment of Functional Diagnostic, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, Slovakia1st Department of Cardiology, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, SlovakiaDepartment of Functional Diagnostic, East-Slovak Institute of Cardiovascular Diseases, 04011 Kosice, SlovakiaWe 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.https://www.mdpi.com/2077-0383/11/7/2038myocardial infarctionthrombusthrombophiliaembolism |
| spellingShingle | Marianna Vachalcová Monika Jankajová Marta Jakubová Karolina Angela Sieradzka Tibor Porubän Gabriel Valočik Peter Šafár Daniela Ondušová Ján Petruš Ingrid Schusterová Rare Source of Embolism in a Young Patient: Case Report and Literature Review Journal of Clinical Medicine myocardial infarction thrombus thrombophilia embolism |
| title | Rare Source of Embolism in a Young Patient: Case Report and Literature Review |
| title_full | Rare Source of Embolism in a Young Patient: Case Report and Literature Review |
| title_fullStr | Rare Source of Embolism in a Young Patient: Case Report and Literature Review |
| title_full_unstemmed | Rare Source of Embolism in a Young Patient: Case Report and Literature Review |
| title_short | Rare Source of Embolism in a Young Patient: Case Report and Literature Review |
| title_sort | rare source of embolism in a young patient case report and literature review |
| topic | myocardial infarction thrombus thrombophilia embolism |
| url | https://www.mdpi.com/2077-0383/11/7/2038 |
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