Management of Acute Upper Extremity Ischemia Attributed to Cardiac Abnormalities: 3 Cases
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 9
Abstract
Ischemia of the upper extremity is a relatively infrequent problem facing the vascular surgeon. Patients usually present with a cool, pallid hand or evidence of distal gangrene. Claudication is unusual because of the abundant collateral arteries around the shoulder. When it occurs, arm ischemia may seriously jeopardize the livelihood and independence of the patient involved. Herein, we report three cases of upper extremity ischemia that all resulted of a cardiac aetiology, and we will consequently present a litterature revue of the global management of acute upper limb ischemia attricuted to a cardiac abnormality. Conclusion: Upper extremity ischemia related to cardiac abnormalities is frequently due to thromboembolism, most commonly from atrial fibrillation, which accounts for approximately 80% of upper extremity thromboembolism. Other less frequent causes include valvular abnormalities, cardiomyopathy, and atrial septal defects. In addition to treating the cardiac abnormality responsible for the embolism, these patients require systemic anticoagulation and often embolectomy. After embolectomy, patients must be monitored closely for development of compartment syndrome caused by reperfusion and treated accordingly.
Authors and Affiliations
O. Lamliki, H. EL Bhali, M. Chemlal, Y. Bahij
Keywords
Related Articles
- EP ID EP488961
- DOI -
- Views 47
- Downloads 0
Filarial Orchitis Mimicking As Scrotal Abscess –A Case Report
Abstract: Filariasis, a parasitic infection most commonly caused by Wuchereria Bancrofti, is a major global public health problem. It is currently endemic in 80 countries, in the tropics and sub-tropics. The clinical pre...
Dolichoectasia of vertebral artery presenting as Tenth cranial nerve palsy
Intracranial arterial dolichoectasia is characterized by enlargement, tortuosity or elongation of major arteries at the base of the brain. It usually involves distal vertebral arteries, basilar artery or distal internal...
Primary Retroperitoneal Mucinous Cystadenoma: A Rare Case Report
Primary retroperitoneal tumours of mucinous type are very rare and are further sub-divided into benign borderline and cystadenocarcinoma. Diagnosis of retroperitoneal tumours should not be delayed as the majority are mal...
Restless legs syndrome (RLS) in a case of hook worm infestation
Restless legs syndrome (RLS) is characterised by irresistible urge to move the leg when at rest or while trying to fall asleep. The cause of RLS mostly idiopathic. A variety of factors can cause RLS such as iron deficien...
A Rare Case: Type IV Dual LAD Anomaly with LAD-Pulmonary Artery- D1 Fistulas
Type IV dual left anterior descending (LAD) coronary artery with pulmonary artery -D1 fistulization is a very rare anomaly. The article discusses this rare anomaly with a patient's coronary angiogram findings. It was de...