Post-operative ischaemic stroke after transpulmonary embolism: A diagnostic challenge
Fixing a femoral neck fracture in elderly patients restores their independent mobility, and decreases the associated mortality and morbidity. Perioperative stroke is the most undesired complication in such patients, having a miserable outcome. We report a similar case where the patient developed isc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Current Medicine Research and Practice |
| Subjects: | |
| Online Access: | http://www.cmrpjournal.org/article.asp?issn=2352-0817;year=2020;volume=10;issue=6;spage=297;epage=299;aulast=Panda |
| _version_ | 1811180129832927232 |
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| author | Sagarika Panda Gaurav Jain Sonu Sama Vamshi Krishna |
| author_facet | Sagarika Panda Gaurav Jain Sonu Sama Vamshi Krishna |
| author_sort | Sagarika Panda |
| collection | DOAJ |
| description | Fixing a femoral neck fracture in elderly patients restores their independent mobility, and decreases the associated mortality and morbidity. Perioperative stroke is the most undesired complication in such patients, having a miserable outcome. We report a similar case where the patient developed ischaemic stroke in the immediate post-operative period, where a diagnostic workup revealed the presence of a new-onset pulmonary arterial hypertension with suspected embolism, in the absence of cardiopulmonary shunt, visible thrombus or embolus of cardiac origin. This case highlights the diagnostic dilemma in evaluating the cause of post-operative stroke and emphasises the need for a multimodal approach to investigate the suspected acute pulmonary embolism and to identify the possible sites for the origin of an embolus. |
| first_indexed | 2024-04-11T06:45:22Z |
| format | Article |
| id | doaj.art-ff155a5eca414782a13395b0212787f5 |
| institution | Directory Open Access Journal |
| issn | 2352-0817 2352-0825 |
| language | English |
| last_indexed | 2024-04-11T06:45:22Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Current Medicine Research and Practice |
| spelling | doaj.art-ff155a5eca414782a13395b0212787f52022-12-22T04:39:22ZengWolters Kluwer Medknow PublicationsCurrent Medicine Research and Practice2352-08172352-08252020-01-0110629729910.4103/cmrp.cmrp_58_20Post-operative ischaemic stroke after transpulmonary embolism: A diagnostic challengeSagarika PandaGaurav JainSonu SamaVamshi KrishnaFixing a femoral neck fracture in elderly patients restores their independent mobility, and decreases the associated mortality and morbidity. Perioperative stroke is the most undesired complication in such patients, having a miserable outcome. We report a similar case where the patient developed ischaemic stroke in the immediate post-operative period, where a diagnostic workup revealed the presence of a new-onset pulmonary arterial hypertension with suspected embolism, in the absence of cardiopulmonary shunt, visible thrombus or embolus of cardiac origin. This case highlights the diagnostic dilemma in evaluating the cause of post-operative stroke and emphasises the need for a multimodal approach to investigate the suspected acute pulmonary embolism and to identify the possible sites for the origin of an embolus.http://www.cmrpjournal.org/article.asp?issn=2352-0817;year=2020;volume=10;issue=6;spage=297;epage=299;aulast=Pandaangiographydeep-vein thrombosisischaemic strokepulmonary embolism |
| spellingShingle | Sagarika Panda Gaurav Jain Sonu Sama Vamshi Krishna Post-operative ischaemic stroke after transpulmonary embolism: A diagnostic challenge Current Medicine Research and Practice angiography deep-vein thrombosis ischaemic stroke pulmonary embolism |
| title | Post-operative ischaemic stroke after transpulmonary embolism: A diagnostic challenge |
| title_full | Post-operative ischaemic stroke after transpulmonary embolism: A diagnostic challenge |
| title_fullStr | Post-operative ischaemic stroke after transpulmonary embolism: A diagnostic challenge |
| title_full_unstemmed | Post-operative ischaemic stroke after transpulmonary embolism: A diagnostic challenge |
| title_short | Post-operative ischaemic stroke after transpulmonary embolism: A diagnostic challenge |
| title_sort | post operative ischaemic stroke after transpulmonary embolism a diagnostic challenge |
| topic | angiography deep-vein thrombosis ischaemic stroke pulmonary embolism |
| url | http://www.cmrpjournal.org/article.asp?issn=2352-0817;year=2020;volume=10;issue=6;spage=297;epage=299;aulast=Panda |
| work_keys_str_mv | AT sagarikapanda postoperativeischaemicstrokeaftertranspulmonaryembolismadiagnosticchallenge AT gauravjain postoperativeischaemicstrokeaftertranspulmonaryembolismadiagnosticchallenge AT sonusama postoperativeischaemicstrokeaftertranspulmonaryembolismadiagnosticchallenge AT vamshikrishna postoperativeischaemicstrokeaftertranspulmonaryembolismadiagnosticchallenge |