Charmake Darar, Lahmidi Ismahane, Boutaybi Mohamed, Elouafi Noha
Cardiology, Mohammed I University/Mohammed VI University Hospital, Oujda, MAR.
Cardiology, Mohammed I University, Epidemiological Laboratory of Clinical Research and Public Health, Mohammed VI University Hospital, Oujda, MAR.
Cureus. 2021 Feb 24;13(2):e13538. doi: 10.7759/cureus.13538.
Acute limb ischemia (ALI) is an abrupt interruption of limb blood flow due to acute occlusion of the peripheral artery. Its concomitant occurrence with myocardial infarction (MI) constitutes a rare but serious clinical situation that worsens the functional prognosis of the affected limb or leads to the death of the patient. We report a case of an 87-year-old male patient who was diagnosed with acute left lower limb ischemia concomitant with MI. The diagnosis was based on clinical, electrical data and arterial angiography scan of limb findings. Thanks to urgent myocardial revascularization associated with that of the lower limb, curative heparin therapy, and armed clinical surveillance, the evolution was favorable.
急性肢体缺血（ALI）是由于外周动脉急性闭塞导致肢体血流突然中断。它与心肌梗死（MI）同时发生构成一种罕见但严重的临床情况，会使受影响肢体的功能预后恶化或导致患者死亡。我们报告一例87岁男性患者，被诊断为急性左下肢缺血合并心肌梗死。诊断基于临床症状、电生理数据以及肢体动脉血管造影扫描结果。由于紧急进行了与下肢血管重建相关的心肌血运重建、给予了根治性肝素治疗以及严密的临床监测，病情进展良好。
