Ann Surg Treat Res.  2015 Jan;88(1):52-54. 10.4174/astr.2015.88.1.52.

Acute ileofemoral artery thromboembolism due to left ventricle thrombi with spontaneous coronary artery dissection

• Jun H
• Jung CW
• Park KT

• KMID: 2167060
• DOI: http://doi.org/10.4174/astr.2015.88.1.52

Abstract

Spontaneous coronary artery dissection (SCAD) is a very rare cause of peripheral artery thromboembolism. It is especially rare to show symptoms of acute limb ischemia without chest symptoms during a hospital visit. In this case, a rare case of SCAD led to left heart failure and caused left ventricle thrombi, which in turn caused peripheral thromboembolism.

Keyword

Spontaneous coronary artery dissection; Thromboembolism; Limb; Ischemia

MeSH Terms

Arteries*
Coronary Vessels*
Extremities
Heart Failure
Heart Ventricles*
Ischemia
Thorax
Thromboembolism*

Figure

• 

  Fig. 1 The illustration of CT angiography of acute embolism in right iliofemoral artery (arrow).

• 

  Fig. 2 The illustration of echocardiogram of huge thrombi in left ventricle apex (arrow). LV, left ventricle; LA, left atrium.

• 

  Fig. 3 The illustration of coronary arteriography with left anterior descending dissection (arrows).

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