<abstract xmlns="http://www.w3.org/1999/xhtml">

<bold>Introduction:</bold> In acute heart failure patients, the prothrombotic state is likely due to arterial and venous endothelial dysfunction. Decompensated heart failure appears to also be associated with increased levels of prothrombotic molecules, such as fibrinogen and von Willebrand factor, which also contribute to the prothrombotic state.
<bold>Case presentation:</bold> We present the case of a 72-year-old male patient, admitted for signs of acute heart failure with bilateral ankle edema. Laboratory data showed D-dimer level >5 µg/mL, which raised the suspicion of pulmonary embolism secondary to deep vein thrombosis. Doppler ultrasound performed to exclude a deep vein thrombosis revealed a total occlusion of the superficial femoral artery on the lower left limb and an abdominal aorta with a lumen diameter of 35 mm and a true lumen of 18.6 mm with circular isoechoic material on the aortic wall. The computed tomography angiography described an aneurysm of the abdominal aorta with mural thrombosis extending to the bifurcation level.
<bold>Conclusion:</bold> In patients with acute heart failure, a comprehensive vascular assessment is also needed. The therapeutic management of these patients varies from conservative to endovascular or surgical therapy, but revascularization therapy should be considered based on the patient’s medical condition.
</abstract>

Introduction: In acute heart failure patients, the prothrombotic state is likely due to arterial and venous endothelial dysfunction. Decompensated heart failure appears to also be associated with increased levels of prothrombotic molecules, such as fibrinogen and von Willebrand factor, which also contribute to the prothrombotic state.
Case presentation: We present the case of a 72-year-old male patient, admitted for signs of acute heart failure with bilateral ankle edema. Laboratory data showed D-dimer level >5 µg/mL, which raised the suspicion of pulmonary embolism secondary to deep vein thrombosis. Doppler ultrasound performed to exclude a deep vein thrombosis revealed a total occlusion of the superficial femoral artery on the lower left limb and an abdominal aorta with a lumen diameter of 35 mm and a true lumen of 18.6 mm with circular isoechoic material on the aortic wall. The computed tomography angiography described an aneurysm of the abdominal aorta with mural thrombosis extending to the bifurcation level.
Conclusion: In patients with acute heart failure, a comprehensive vascular assessment is also needed. The therapeutic management of these patients varies from conservative to endovascular or surgical therapy, but revascularization therapy should be considered based on the patient’s medical condition.

Arterial Embolic Complications in a Patient with Acute Heart Failure

“George Emil Palade” University of Medicine, Pharmacy, Science and Technology

Journal of Cardiovascular Emergencies

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Arterial Embolic Complications in a Patient with Acute Heart Failure"}

Introduction: In acute heart failure patients, the prothrombotic state is likely due to arterial and venous endothelial dysfunction. Decompensated heart...

Arterial Embolic Complications in a Patient with Acute Heart Failure

Pubblicato online: 01 mar 2023

Pagine: 86 - 89

Ricevuto: 23 dic 2022

Accettato: 28 dic 2022

DOI: https://doi.org/10.2478/jce-2022-0015

Parole chiave
occlusion of the superficial femoral artery, aneurysm of the abdominal aorta, acute heart failure

© 2022 Annamária Magdás et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Arterial Embolic Complications in a Patient with Acute Heart Failure

Pubblicato online: 01 mar 2023

Pagine: 86 - 89

Ricevuto: 23 dic 2022

Accettato: 28 dic 2022

DOI: https://doi.org/10.2478/jce-2022-0015

Parole chiaveocclusion of the superficial femoral artery, aneurysm of the abdominal aorta, acute heart failure

© 2022 Annamária Magdás et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Parole chiave
occlusion of the superficial femoral artery, aneurysm of the abdominal aorta, acute heart failure