Key result
Emergency amputation and multidisciplinary care successfully stabilize concurrent acute myocardial infarction and acute limb ischemia.
Why the study?
Spontaneous co-occurrence of acute myocardial infarction and acute lower extremity arterial embolism has rarely been reported.
Case Report (n=1)
Emergency amputation and multidisciplinary approaches may offer a chance for survival in patients with simultaneous acute myocardial infarction and acute lower extremity arterial embolism who miss the window for early treatment.
May support survival in rare simultaneous MI and embolism cases missing early intervention; leaves open need for prospective validation of multidisciplinary protocols.
Background: Spontaneous co-occurrence of acute myocardial infarction (AMI) and acute lower extremity arterial embolism (ALEAE) has rarely been reported.Case presentation: A 44-year-old male with a history of 4 years of type1 diabetes was admitted to hospital when he suddenly experienced severe pain in his right lower limb and felt tightness in the left anterior chest area. Ultrasonography revealed distal occlusion of the right superficial femoral artery. ECG showed acute anterior interstitial myocardial infarction. After conservative treatment for 2 days, the patient had severe necrosis of lower limbs and secondary injury of multiple organs. Hemodialysis and heparin anticoagulant therapy were performed before amputation. Twelve days after the operation, the patient's condition was stable and he was transferred out of ICU.Conclusions: Emergency amputation and multidisciplinary approaches may offer a chance for survival if patents lost the opportunity for early treatment.
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Lu et al. (2020) conducted a case report in Simultaneous acute lower extremity arterial embolization and acute myocardial infarction (n=1). Hemofiltration, heparin anticoagulant therapy, and emergency right lower limb amputation was evaluated on Survival and clinical stability. Emergency amputation and multidisciplinary approaches successfully stabilized a 44-year-old man presenting with simultaneous acute myocardial infarction and acute lower extremity arterial embolism.
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