Cerebral Infarction with Pulmonary Thromboembolism Due to Immobilization

Arterial and venous thrombi can coexist without preexisting conditions, such as malignant disease, thrombotic predisposition, or arteriovenous shunt. We herein report a case of acute cerebral infarction and pulmonary thromboembolism in the absence of underlying disease. A 71-year-old woman presented...

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Bibliographic Details
Published in:Internal Medicine 2020/11/15, Vol.59(22), pp.2955-2959
Main Authors: Fujino, Yuzo, Kawasaki, Tatsuya, Kawamata, Hirofumi, Tamura, Aiko, Shiga, Kensuke, Oyamada, Hirokazu
Format: Article
Language:English
Subjects:
Aged
arterial thrombus
Arteriosclerosis
Arteriovenous Fistula
Case Report
Case reports
Cerebral infarction
Cerebral Infarction - diagnostic imaging
Cerebral Infarction - etiology
Chest
Female
Hemiplegia
Humans
Immobilization
Internal medicine
Pulmonary artery
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - etiology
pulmonary thromboembolism
Thromboembolism
Thrombosis
Veins
venous thromboembolism
venous thrombus
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Summary:Arterial and venous thrombi can coexist without preexisting conditions, such as malignant disease, thrombotic predisposition, or arteriovenous shunt. We herein report a case of acute cerebral infarction and pulmonary thromboembolism in the absence of underlying disease. A 71-year-old woman presented with left hemiplegia. On an examination, her oxygen saturation was 91% on ambient air despite the absence of chest symptoms and clear lung fields on a chest radiograph. The patient was finally diagnosed with acute cerebral infarction caused by large artery atherosclerosis and acute pulmonary thromboembolism due to deep vein thrombosis, consequent to immobilization for three days after the onset of cerebral infarction.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.3285-19