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Peripheral Vascular Emboli in Patients with Infective Endocarditis are Common.
J Vasc Surg
January 2025
Department of Surgery, Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA. Electronic address:
Objective: Infective endocarditis (IE) is associated with significant morbidity and mortality and places patients at risk for subsequent peripheral vascular emboli. Our goals were to analyze the incidence of peripheral emboli and their associated complications and outcomes.
Methods: A retrospective single-center review of all patients with IE from 2013-2021 was performed.
Renal artery thrombosis with deterioration of kidney function.
BMJ Case Rep
December 2024
Nephrology, University Clinical Center of Serbia, Belgrade, Serbia
Renal artery thrombosis is an uncommon but serious cause of acute kidney injury that can result in permanent loss of function. It is frequently misdiagnosed due to its non-specific appearance, which can mimic renal colic and other more common causes of abdominal pain. There is no agreement on the first-line treatment and no prospective studies comparing thrombolysis, anticoagulation and embolectomy.
View Article and Find Full Text PDFCase report of simultaneous phlegmasia cerulea dolens and acute limb ischemia.
Int J Surg Case Rep
December 2024
Department of Vascular surgery, University hospital of Bratislava, Faculty of Medicine - Comenius University, Slovak Republic.
Article Synopsis
- Phlegmasia cerulea dolens (PCD) is a serious condition caused by massive deep vein thrombosis that can threaten both life and limbs, often requiring urgent treatment options such as endovascular therapy or surgical embolectomy in specific cases.
- A patient case illustrated simultaneous PCD with acute limb ischemia, showing symptoms like abdominal pain, cyanosis, and motor deficits, leading to a successful combined surgical embolectomy to resolve the issues.
- This report emphasizes that there are no formal guidelines for treating PCD and stresses the necessity for personalized treatment strategies and comprehensive care access.
Balloon protection of the mesenteric-renal vessels during embolectomy of acute paravisceral aortic occlusion.
J Vasc Surg Cases Innov Tech
December 2024
Department of Cardiovascular Surgery, Mayo Clinic Health System, Eau Claire, WI.
Acute thrombosis of the aorta is an uncommon, but potentially devastating, vascular emergency. The absence of pathognomonic signs or symptoms makes the diagnosis challenging and, often, time consuming. No optimal treatment has been established, with greater challenge present when the thrombus involves the mesenteric-renal vessels.
View Article and Find Full Text PDFArticle Synopsis
- - A 76-year-old man with advanced renal cell carcinoma and a clot in his inferior vena cava underwent surgery for nephrectomy but suffered a cardiac emergency during the procedure.
- - A trans-esophageal echocardiogram revealed that the clot had traveled to the right atrium, prompting urgent measures like veno-arterial extracorporeal membrane oxygenation and mechanical removal of the clot.
- - Despite these interventions, the patient remained in critical condition and later died from complications related to severe bleeding and a clotting disorder known as disseminated intravascular coagulopathy.
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