Bilateral Acute Limb Ischemia due to Severe Rheumatic Mitral Stenosis and Atrial Fibrillation with Neglected International Normalized Ratio Control

Akutn konetinov ischemie (acute limb ischemia, ALI) pedstavuje zsadn hrozbu pro ivotaschopnost konetin vyadujc urgentn revaskularizan intervence. V tto kazuistice popisujeme ppad 47let Asiatky s bilaterln ALI v dsledku tk mitrln stenzy (MS) revmatick etiologie a fibrilace sn (FS) se zanedbanou pravou mezinrodnho normalizanho pomru (INR). Pacientka byla pivezena do nemocnice s nhlou klidovou bolest obou dolnch konetin, ji namodralch a naprosto bez it. Echokardiografick vyeten prokzalo tkou MS revmatick etiologie spolu s trombem v ouku lev sn. CT angiogram odhalil tm pln obturujc trombus v mst odstupu horn bin aorty. Okamit byla provedena bilaterln tromboembolektomie, po n dolo ke zlepen stavu, a pacientka byla nakonec proputna z nemocnice ve stabilizovanm stavu. Pro optimln vsledek v ppad ALI zahrnujcch souasn MS a FS jsou absolutn nezbytn vhodn antikoagulan terapie, dsledn monitorovn INR a pouit vhodn strategie k nhrad chlopn. © 2024, KS.

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Publication Details

Journal
Cor et Vasa
Published
2024-09-09
DOI
https://doi.org/10.33678/cor.2024.039
Primary Topic
Peripheral Artery Disease Management
Type
article
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article

Bilateral Acute Limb Ischemia due to Severe Rheumatic Mitral Stenosis and Atrial Fibrillation with Neglected International Normalized Ratio Control

I Gde Rurus Suryawan, Muhammad Aditya, Tita Rif'atul Mahmudah
Cor et Vasa
Peripheral Artery Disease Management
article

Bilateral Acute Limb Ischemia due to Severe Rheumatic Mitral Stenosis and Atrial Fibrillation with Neglected International Normalized Ratio Control

I Gde Rurus Suryawan, Muhammad Aditya, Tita Rif'atul Mahmudah
article en

Abstract

Akutn konetinov ischemie (acute limb ischemia, ALI) pedstavuje zsadn hrozbu pro ivotaschopnost konetin vyadujc urgentn revaskularizan intervence. V tto kazuistice popisujeme ppad 47let Asiatky s bilaterln ALI v dsledku tk mitrln stenzy (MS) revmatick etiologie a fibrilace sn (FS) se zanedbanou pravou mezinrodnho normalizanho pomru (INR). Pacientka byla pivezena do nemocnice s nhlou klidovou bolest obou dolnch konetin, ji namodralch a naprosto bez it. Echokardiografick vyeten prokzalo tkou MS revmatick etiologie spolu s trombem v ouku lev sn. CT angiogram odhalil tm pln obturujc trombus v mst odstupu horn bin aorty. Okamit byla provedena bilaterln tromboembolektomie, po n dolo ke zlepen stavu, a pacientka byla nakonec proputna z nemocnice ve stabilizovanm stavu. Pro optimln vsledek v ppad ALI zahrnujcch souasn MS a FS jsou absolutn nezbytn vhodn antikoagulan terapie, dsledn monitorovn INR a pouit vhodn strategie k nhrad chlopn. © 2024, KS.

Cor et VasaVol. 66(4)
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Peripheral Artery Disease Management
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Bilateral Acute Limb Ischemia due to Severe Rheumatic Mitral Stenosis and Atrial Fibrillation with Neglected International Normalized Ratio Control — I Gde Rurus Suryawan, Muhammad Aditya, et al. · Cor et Vasa (2024) | TGRS Research Map | TGRS