Recurrent syncope can be an atypical presentation of recurrent pulmonary embolism secondary to deep vein thrombosis, highlighting the importance of considering venous thromboembolism in the differential diagnosis of unexplained syncope.
Recurrent syncope may warrant leg vein imaging for occult thrombosis; single case leaves open causal link and broader screening utility.
The article provides a case report of recurrent syncopal episodes in a 57-year old male patient. During a three-month period of recurrent syncope, the patient was managed by the family doctor and at pulmonology and cardiology departments for different diagnoses. Due to an uncertainty in diagnosis, the patient was moved to a hospital where he underwent echocardiographic examination and duplex scanning of right leg veins, which detected a 49.3 mm right leg venous thrombus with a free-floating head in the right common femoral vein. Retrospectively, recurrent pulmonary artery thromboembolism was diagnosed. Thrombectomy and ligation of the right superficial artery were performed; an approximately 17 cm long thrombus was removed; the anticoagulant treatment was administered with a beneficial effect.
No takes yet. Share an insight, caveat, or question.
Ватутин et al. (2017) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: