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open access

Vol 16, No 3 (2010)
Case report
Published online: 2010-10-15
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Thromboembolism of the subclavian artery to the vertebral artery with haemorrhagic transformation

José Maria Pereira de Godoy, Guilherme de Lima Palini, Carlos Eduardo Dall’Aglio Rocha, Marcio Luiz Tostes dos Santos
Acta Angiologica 2010;16(3):135-137.

open access

Vol 16, No 3 (2010)
Case reports
Published online: 2010-10-15

Abstract

We report on the case of a 56-year-old male patient who, after fainting, regained consciousness in hospital in a confused state complaining of pain in the left arm. In the physical examination, the arm was seen to be cold and without pulse, so an arteriography was performed which identified an aneurysm of the subclavian artery with distal embolus of the upper limb. He was submitted to embolectomy of the limb but evolved with degeneration of the neurological state and so was transferred to a university hospital which confirmed the presence of thromboembolism of the vertebral artery. The upper limb had signs of distal ischaemia, so anticoagulation with heparin was initiated. The patient presented with further deterioration of the neurological condition and a transformation from ischaemic to hemorrhagic stroke was confirmed.
Acta Angiol 2010; 16, 3: 135–137

Abstract

We report on the case of a 56-year-old male patient who, after fainting, regained consciousness in hospital in a confused state complaining of pain in the left arm. In the physical examination, the arm was seen to be cold and without pulse, so an arteriography was performed which identified an aneurysm of the subclavian artery with distal embolus of the upper limb. He was submitted to embolectomy of the limb but evolved with degeneration of the neurological state and so was transferred to a university hospital which confirmed the presence of thromboembolism of the vertebral artery. The upper limb had signs of distal ischaemia, so anticoagulation with heparin was initiated. The patient presented with further deterioration of the neurological condition and a transformation from ischaemic to hemorrhagic stroke was confirmed.
Acta Angiol 2010; 16, 3: 135–137

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Keywords

subclavian artery aneurysm; vertebral artery; thromboembolism; haemorrhage

About this article
Title

Thromboembolism of the subclavian artery to the vertebral artery with haemorrhagic transformation

Journal

Acta Angiologica

Issue

Vol 16, No 3 (2010)

Article type

Case report

Pages

135-137

Published online

2010-10-15

Page views

719

Article views/downloads

1351

Bibliographic record

Acta Angiologica 2010;16(3):135-137.

Keywords

subclavian artery aneurysm
vertebral artery
thromboembolism
haemorrhage

Authors

José Maria Pereira de Godoy
Guilherme de Lima Palini
Carlos Eduardo Dall’Aglio Rocha
Marcio Luiz Tostes dos Santos

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