Management of Acute Upper Extremity Ischemia Attributed to Cardiac Abnormalities: 3 Cases
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 9
Abstract
Ischemia of the upper extremity is a relatively infrequent problem facing the vascular surgeon. Patients usually present with a cool, pallid hand or evidence of distal gangrene. Claudication is unusual because of the abundant collateral arteries around the shoulder. When it occurs, arm ischemia may seriously jeopardize the livelihood and independence of the patient involved. Herein, we report three cases of upper extremity ischemia that all resulted of a cardiac aetiology, and we will consequently present a litterature revue of the global management of acute upper limb ischemia attricuted to a cardiac abnormality. Conclusion: Upper extremity ischemia related to cardiac abnormalities is frequently due to thromboembolism, most commonly from atrial fibrillation, which accounts for approximately 80% of upper extremity thromboembolism. Other less frequent causes include valvular abnormalities, cardiomyopathy, and atrial septal defects. In addition to treating the cardiac abnormality responsible for the embolism, these patients require systemic anticoagulation and often embolectomy. After embolectomy, patients must be monitored closely for development of compartment syndrome caused by reperfusion and treated accordingly.
Authors and Affiliations
O. Lamliki, H. EL Bhali, M. Chemlal, Y. Bahij
Keywords
Related Articles
- EP ID EP488961
- DOI -
- Views 68
- Downloads 0
Oesophageal achalasia in an infant- A rare case report
Achalasia cardia is a neuromuscular disorder of the oesophagus, characterized by abnormal oesophageal motility and failure of lower esophageal sphincter relaxation. It usually manifests in the fourth and fifth decades of...
Muller Weiss's Disease: A Case Report
Muller Weiss disease (MMW) is a rare entity that corresponds to aseptic necrosis of the navicular bone of the adult. It usually affects the woman, bilaterally or unilaterally, and is of unknown origin [1-4]. MMW was susp...
Benign Joint Hyper Mobility Syndrome in a Case of ADHD
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental psychiatric disorder. Benign joint hyper mobility syndrome (BJHS) is a connective tissue disorder in the absence of rheumatological diseases. Indivi...
Osteoid Osteoma of Tibia Treated By Surgical Management Novel Method: A Case Report
Osteoid Osteoma is common benign tumor of the bone. It is commonly seen in the 2nd & 3rd decades, more often between 5-30 years with predilection to males. It involves the appendicular skeleton & the spine more often, ra...
Late Onset Joubert Syndrome: Case Report
Joubert Syndrome (JS) is a rare congenital autosomal recessive disorder. Obligatory finding and Hallmark feature is Molar tooth sign, a complex midbrain hindbrain malformation visible on MRI brain. Cardinal clinical feat...