Concomitant Acute Upper Limb Ischemia and Carotid Artery Thrombosis: A Rare Case Report and Review of Literature

Acute Limb Ischemia (ALI) is considered as a surgical emergency and if diagnosed late or remains untreated, may result in severe functional disability, limb loss or sometimes threat to life. Partial or complete occlusion of cervico-cerebral arteries is another serious vascular condition, which can lead to life threatening Cerebo-Vascular-Accidents (CVA) and permanent disability. Acute Upper Limb Ischaemia (AULI) and carotid artery thrombosis are two different entities, usually presents separately and management depends on clinical condition of patient as well as level and extent of occlusion. Occurrence of AULI and carotid artery thrombosis in a person at once is rarely rare and restricted to few case reports only. Besides the diagnostic dilemma, management remains challenging as well due to added mortality and morbidity associated with both the vascular conditions. We hereby report a unique case of concomitant Upper limb and ipsilateral carotid artery occlusion, presented with features of AULI without any neurological symptoms and managed successfully by surgical thrombectomy of affected upper limb and conservatively for carotid artery occlusion.