Benfor B, Hajji R, Bouarhroum A, Lagdrori Y, Boukatta Brahim, Elbouazzaoui Abderrahim, Kanjaa Nabil
Department of Vascular Surgery, Centre Hospitalier Universitaire Hassan II, Fez, Morocco.
Department of Anesthesia and Intensive Care, Centre Hospitalier Universitaire Hassan II, Fez, Morocco.
Int J Angiol. 2019 Jun;28(2):147-150. doi: 10.1055/s-0037-1604452. Epub 2017 Aug 2.
Carbon monoxide (CO) poisoning is a very common reason for emergency ward admission, with symptoms varying from a simple headache and dizziness to severe neurological and cardiac impairment. We report here a rare clinical presentation of CO intoxication manifested by a severe cardiac impairment with intracardiac thrombus formation, acute limb ischemia, renal infarction, and carotid artery thrombosis. There have been initial reports of thromboembolic events in acute CO poisoning with intracardiac thrombosis being sparsely reported. Contrary to venous thromboembolism, arterial thromboembolism in CO poisoning seems to be extremely rare. To the best of our knowledge, this is the first report in recent literature of a combined intracardiac thrombosis and multiple arterial thromboembolism induced by CO poisoning.
一氧化碳（CO）中毒是急诊病房收治的常见原因，症状从简单的头痛和头晕到严重的神经和心脏损伤不等。我们在此报告一例罕见的CO中毒临床表现，表现为严重的心脏损伤并伴有心内血栓形成、急性肢体缺血、肾梗死和颈动脉血栓形成。急性CO中毒伴有心内血栓形成的血栓栓塞事件已有初步报道，但报道较少。与静脉血栓栓塞相反，CO中毒引起的动脉血栓栓塞似乎极为罕见。据我们所知，这是近期文献中首例关于CO中毒导致心内血栓形成和多发性动脉血栓栓塞合并的报告。
