Popliteal Artery Thrombosis After Open Reduction and Internal Fixation of the Patella: A Case Report.

Autor: Priddy MC; Department of Orthopaedic Surgery, The University of Kansas School of Medicine, Wichita, Kansas., Pollock AG; Department of Orthopaedic Surgery, The University of Kansas School of Medicine, Wichita, Kansas., Chong ACM; Department of Orthopaedic Surgery, The University of Kansas School of Medicine, Wichita, Kansas.; Via Christi Health, Saint Francis Campus, Wichita, Kansas.
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2016 Apr-Jun; Vol. 6 (2), pp. e39.
DOI: 10.2106/JBJS.CC.15.00183
Abstrakt: Case: A 31-year-old man presented with a right patellar fracture after a motor-vehicle accident. He had a history of a myocardial infarction and cerebrovascular accident, for which he reported taking aspirin and clopidogrel daily. One hour after surgery, an acute popliteal artery thrombosis was detected. The patient was ultimately successfully managed with endovascular placement of a catheter and a 14-hour infusion of tissue plasminogen activator. The patient had no further known thromboembolic events after 11 months of follow-up.
Conclusion: High suspicion must be maintained for acute thromboembolic events in patients with a history of such events.
Databáze: MEDLINE