Successful selective arterial thrombolysis in patient with acute abdominal thromboembolism

Christo Tsekov; Anelia Loukova; Valeri Gelev

doi:10.1016/j.tjem.2015.03.003

Christo Tsekov¹, Anelia Loukova², Valeri Gelev³

¹Division of General, Visceral and Emergency Surgery, Emergency Medicine Institute Pirogov, Sofia, Bulgaria
²Clinic of Toxicology, Emergency Medicine Institute Pirogov, Sofia, Bulgaria
³Clinic of Cardiology, Emergency Medicine Institute Pirogov, Sofia, Bulgaria

Keywords: Mesenterial circulation; Abdominal thromboembolism; Arterial thrombolysis

Abstract

The paper reports successful thrombolysis conducted in 64 years old woman admitted to the clinic with clinical and angiographic data for acute surgical abdomen caused by acute tromboembolia of arteria mesenterica superior (AMS). The therapeutic approach required to undertake lifesaving decision on i.e. surgical vs. invasive treatment in conditions of emergency. Finally, it was decided to undertake invasive treatment with successful restoration of blood flow in the related artery. The patient was discharged from the clinic with considerable clinical improvement on the fifth day of her stay. The case report includes discussion on issues relating the consequence of the diagnostic and interventional procedures in such patients, opportunities for conducting emergency thrombolysis in acute embolia of AMS and preventive measures in patients with high tromboembolic risk.