Gondoputro William, Rajendran Saissan, Celermajer David, Qasabian Raffi
Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Department of Cardiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
J Vasc Surg Cases Innov Tech. 2020 Mar 4;6(1):160-164. doi: 10.1016/j.jvscit.2020.01.017. eCollection 2020 Mar.
Acute limb ischemia in young adults warrants thorough investigation to determine the underlying cause. Here, we present a case of acute upper limb ischemia in a marathon runner secondary to paradoxical embolism. The patient had associated deep venous thrombosis of the lower limb with multiple pulmonary emboli and patent foramen ovale. This case report emphasizes the under-recognition of intense endurance exercise as a risk factor for venous thromboembolism and highlights the potentially debilitating embolic sequelae of venous thromboembolism in patients with patent foramen ovale.
年轻成年人的急性肢体缺血需要进行全面检查以确定潜在病因。在此，我们报告一例马拉松运动员继发矛盾栓塞导致的急性上肢缺血病例。该患者合并下肢深静脉血栓形成及多发肺栓塞，且卵圆孔未闭。本病例报告强调了高强度耐力运动作为静脉血栓栓塞危险因素未得到充分认识，并突出了卵圆孔未闭患者静脉血栓栓塞潜在的致残性栓塞后遗症。
