RESUMEN
We report successful lysis of acute arterial calf thrombosis by intra-arterial streptokinase infusion seven hours after retroperitoneal dissection and repair of an ipsilateral common femoral artery laceration. No systemic effects or complications developed. Local intra-arterial thrombolytic therapy is more effective and safer than intravenous systemic therapy and may now be considered in the immediate postoperative period, providing the drug is delivered downstream from the operative site.
Asunto(s)
Estreptoquinasa/administración & dosificación , Tromboflebitis/tratamiento farmacológico , Adulto , Arteria Femoral/lesiones , Arteria Femoral/cirugía , Humanos , Infusiones Intraarteriales , Masculino , Periodo Posoperatorio , Tromboflebitis/cirugíaRESUMEN
A solitary pulmonary nodule was shown by dynamic computed tomography to be vascular, to be enhanced during the pulmonary venous phase, and to be in continuity with the left inferior pulmonary vein. The diagnosis of pulmonary varix was confirmed by pulmonary angiography, an invasive procedure that can be avoided in the future.