Key result
Bilateral thromboembolectomy restores limb perfusion in acute limb ischemia complicating rheumatic mitral stenosis and AF.
Case Report (n=1)
No
Bilateral acute limb ischemia can occur as a severe complication of rheumatic mitral stenosis and atrial fibrillation when INR is poorly controlled, requiring urgent revascularization.
Neglected INR control risks bilateral limb ischemia in rheumatic MS with AF; single case leaves optimal strategies open.
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.
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Aditya et al. (2024) conducted a case report in Bilateral Acute Limb Ischemia, Severe Rheumatic Mitral Stenosis, Atrial Fibrillation (n=1). Bilateral thromboembolectomy was evaluated on Limb viability and clinical improvement. Bilateral thromboembolectomy successfully restored limb perfusion and viability in a patient with bilateral acute limb ischemia caused by severe rheumatic mitral stenosis, atrial fibrillation, and neglected INR control.
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