Document Detail

Multiple embolisations in rheumatic heart disease: a case report.
MedLine Citation:
PMID:  20425747     Owner:  NLM     Status:  In-Process    
BACKGROUND: Though systemic thromboembolism is not an infrequent complication of rheumatic valvular disease, multiple embolic phenomena are rare.
OBJECTIVE: To present a patient with rheumatic heart disease associated with multiple embolic complications.
CASE REPORT: A 44-year-old lady with rheumatic valvular disease and atrial fibrillation defaulted anticoagulant medication, and subsequently presented with acute chest pain, acute left ventricular failure, focal neurological deficit and gangrenous lower limb extremities. Electrocardiography showed atrial fibrillation and an old anteroseptal myocardial infarction. Echocardiography showed multiple valvular lesions and multiple thrombi in the left atrium. Computed tomogram scan demonstrated a large infarct involving the region supplied by the right middle cerebral artery. Bilateral above knee amputation was performed. Recovery from neurological deficit was complete. She had, during a 4-year follow-up and anticoagulation remained free of new clinically evident embolic complications. Serial echocardiography however showed that the atrial clots had persisted and presumably fibrosed.
CONCLUSION: Multiple systemic thromboembolisms are serious complication of atrial fibrillation of valvular aetiology, and their prevention requires continuous anticoagulation.
S A Isezuo; A A Musa; S A Saidu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  West African journal of medicine     Volume:  28     ISSN:  0189-160X     ISO Abbreviation:  West Afr J Med     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2010-04-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301891     Medline TA:  West Afr J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  274-6     Citation Subset:  IM    
Department of Medicine Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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