RESUMO
The radial artery approach for coronary angiography and intervention is rapidly replacing the femoral artery approach, largely because it reduces bleeding and vascular access site complications. However, complications associated with transradial access warrant attention, notably radial artery occlusion. This report focuses on a case of radial artery occlusion after percutaneous coronary intervention in a 46-year-old woman with CREST (calcinosis, Raynaud phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia) syndrome, which ultimately led to acute hand ischemia necessitating amputation of her middle and index fingers.
Assuntos
Amputação Cirúrgica/métodos , Arteriopatias Oclusivas/cirurgia , Síndrome CREST/complicações , Falanges dos Dedos da Mão/cirurgia , Animais , Arteriopatias Oclusivas/complicações , Arteriopatias Oclusivas/diagnóstico , Feminino , Falanges dos Dedos da Mão/irrigação sanguínea , Humanos , Pessoa de Meia-Idade , Intervenção Coronária Percutânea/efeitos adversos , Artéria RadialAssuntos
Ecocardiografia/métodos , Neoplasias Cardíacas/diagnóstico , Embolia Intracraniana/etiologia , Mixoma/diagnóstico , Diagnóstico Diferencial , Átrios do Coração , Humanos , Embolia Intracraniana/diagnóstico , Masculino , Pessoa de Meia-Idade , Acidente Vascular Cerebral/etiologia , Tomógrafos ComputadorizadosRESUMO
We report a case of a 53 year-old man with a history of hypertension presenting with acute left lower extremity parasthesias and pulselessness initially presumed to be secondary to arterial thrombosis or embolism. Work-up included a transthoracic echocardiogram which revealed an aortic dissection at the level of the aortic root extending to the visualized portions of the descending aorta. Type A aortic dissections are relatively rare, with the vast majority of patients presenting with chest pain. Timely diagnosis of Type A aortic dissections are critical as to facilitate rapid surgical repair. To our knowledge, this is the first report of a painless Type A aortic dissection presenting with isolated lower extremity vascular insufficiency and demonstrates the potential role of transthoracic echocardiography as a rapid, non-invasive bedside modality in visualizing Type A aortic dissections.