Rare Source of Embolism in a Young Patient: Case Report and Literature Review

We present a case of a 31-year-old patient, smoker, with no previous medical history, presenting with acute limb ischemia and infarction of the spleen due to peripheral embolism. The source of embolism was thrombi formations in the left ventricular cavity, located in the area of the regional wall mo...

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Bibliographic Details
Published in:Journal of clinical medicine 2022-04, Vol.11 (7), p.2038
Main Authors: Vachalcová, Marianna, Jankajová, Monika, Jakubová, Marta, Sieradzka, Karolina Angela, Porubän, Tibor, Valočik, Gabriel, Šafár, Peter, Ondušová, Daniela, Petruš, Ján, Schusterová, Ingrid
Format: Article
Language:English
Subjects:
Blood clots
Cardiovascular disease
Case Report
Case reports
Clinical medicine
Coronary vessels
Embolisms
Embolization
Glycoproteins
Heart attacks
Heart failure
Hematology
Informed consent
Ischemia
Medical imaging
Patients
Risk factors
Thromboembolism
Thrombosis
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Summary:We present a case of a 31-year-old patient, smoker, with no previous medical history, presenting with acute limb ischemia and infarction of the spleen due to peripheral embolism. The source of embolism was thrombi formations in the left ventricular cavity, located in the area of the regional wall motions abnormalities. CT and coronary angiography confirmed the total occlusion of the left anterior descending artery with collateralization. The patient underwent acute bilateral embolectomy of the iliac, femoral, and popliteal arteries. Subsequently, cardiothoracic surgery was indicated with coronary bypass surgery and extirpation of left ventricular masses, later confirmed as thrombus by pathology characteristics. Hematological examinations proved homozygous thrombophilia, and the patient was indicated for lifelong anticoagulation therapy.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11072038