Licops Charlotte, Ali Deeba, Kerzmann Arnaud, Lorenzo-Villalba Noel, Gorur Yilmaz
Service de Radiologie, CHU Sart-Tilman, Liège, Bélgica.
Service des Urgences, CHC Clinique Mont Légia, Liège, Bélgica.
Medicina (B Aires). 2023;83(2):303-306.
Acute arterial occlusion of the lower limbs is a medical and surgical emergency due to its morbi-mortality. We present the case of a 59-year-old man admitted to the emergency department for acute and diffuse pain in the left lower limb caused by extensive obstructive clots in the arteries of this limb. Since atheromatous cause was unlikely after angioscopy of the lower limbs, a cardiac origin was suspected. Echocardiogram was normal, however, thoracic angiotomography revealed a floating thrombus in the aortic arch. The patient was treated surgically with placement of an aortic endoprosthesis without complications.
由于其致死率和发病率，下肢急性动脉闭塞是一种内科和外科的急症。我们报告一例59岁男性患者，因左下肢动脉广泛阻塞性血栓导致左下肢急性弥漫性疼痛而入住急诊科。由于下肢血管镜检查后不太可能是动脉粥样硬化病因，故怀疑是心脏来源。然而，超声心动图正常，胸部血管断层扫描显示主动脉弓有一个漂浮血栓。该患者接受了主动脉内假体植入手术治疗，无并发症发生。
