Complete resolution of extensive thrombosis of atheromatous non-aneurysmal descending aorta and pulmonary embolism with warfarin therapy
| Autor: | Vishaka Kerner, Steven Kum, Shrikant D Pande, Farah Safdar Husain |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Simvastatin Aortography medicine.medical_treatment warfarin therapy Aortic Diseases Embolectomy Aorta Thoracic 030204 cardiovascular system & hematology vascular surgery 03 medical and health sciences 0302 clinical medicine medicine.artery Internal medicine medicine Thoracic aorta Humans Carotid Stenosis 030212 general & internal medicine cardiovascular diseases Stroke Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions medicine.diagnostic_test business.industry Heparin Warfarin Anticoagulants Brain Infarction Middle Cerebral Artery General Medicine Middle Aged medicine.disease Thrombosis stroke Plaque Atherosclerotic Pulmonary embolism Descending aorta Cardiology Drug Therapy Combination Hydroxymethylglutaryl-CoA Reductase Inhibitors business Pulmonary Embolism medicine.drug |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| Popis: | A 54-year-old man underwent decompressive craniectomy following a stroke. He further developed right lower limb ischaemia, and CT aortography revealed extensive aortic atherosclerotic disease. Urgent embolectomy prevented him from having a major amputation. He subsequently developed pulmonary embolism. This was initially treated with heparin followed by warfarin apart from antiplatelets and statin. A follow-up aortography at 3 months interval showed near complete resolution of atheromatous disease of the aorta. This report raises the possibility that apart from antiplatelets and lipid-lowering agents, anticoagulation may be responsible for resolution of such an extensive atheromatous disease and whether this can be considered as part of regular treatment. |
| Databáze: | OpenAIRE |
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