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
Migrating Foreign Body in the Neck Penetrating the Neck Muscle
Abstract: Ingested foreign body is one of the most common emergencies faced in otolaryngology practice. These foreign bodies are commonly seen in the upper aerodigestive tract and can be removed endoscopically. In rare c...
Term Pregnancy Following Chemotherapy for Choriocarcinoma
A 25 year old female was referred to us from a Choriocarcinoma. Patient conceived within one year of chemotherapy for choriocarcinoma and delivered by cesarean section. Keywords: choriocarcinoma, chemotherapy, postchorio...
Heart as an Early Site of Metastasis from Squamous Cell Carcinoma of Occult Primary: Rare Case Report
Cardiac involvement by primary and secondary tumors is one of the least investigated subjects in oncology. Metastasis of squamous cell carcinoma (SCC) is rare and so is the bilateral ventricular involvement. We report a...
Acquired Giant Urethral Diverticulum Following Hypospadias Repair: A Case Report
Abstract: Urethral diverticulum may be defined as a localized sac-like out-pouching of the urethral mucosa. It may occur at any location along the urethra in both male and female. Male urethral diverticulum is usually ra...
Carcinoma Breast as a Second Malignancy Following AML; A Case Report and Review of Literature
The improved survival among patients with haematological malignancies has also increased the incidence of second malignancies in these patients. Survivors of Acute myeloid leukemia are at 10 fold more risk of developing...