ABSTRACT
Heparin-induced thrombocytopenia (HIT) is a clinicopathologic condition and adverse drug reaction caused by immunoglobulin G (IgG) antibodies directed against the heparin-platelet factor 4 complex. HIT with thrombosis (HITT) could lead to limb amputation, stroke, myocardial infarction, and death. We report on the successful management of a HITT patient with argatroban therapy.
Subject(s)
Humans , Amputation, Surgical , Antibodies , Drug-Related Side Effects and Adverse Reactions , Extremities , Heparin , Immunoglobulin G , Myocardial Infarction , Pipecolic Acids , Stroke , Thrombocytopenia , ThrombosisABSTRACT
We report her on a rare case of a renal stent that migrated into the right ventricle in a patient with nutcracker syndrome. A 29-year-old woman was admitted to the hospital and she was suffering from flank pain. The computed tomography of the abdomen demonstrated that the left renal vein was compressed between the abdominal aorta and the superior mesenteric artery (nutcracker syndrome). A self expandable stent was placed across the left renal vein for treating her nutcracker syndrome. The next day after the procedure, the follow up chest radiograph showed that the displaced stent had migrated into the right ventricle. After percutanous endovascular stent removal had failed, the stent was ultimately removed by performing cardiac surgery. At the 6th postoperative month, there have been no abdominal or cardiac symptoms.
Subject(s)
Adult , Female , Humans , Abdomen , Aorta, Abdominal , Blood Vessel Prosthesis , Flank Pain , Follow-Up Studies , Heart Ventricles , Mesenteric Artery, Superior , Prosthesis Failure , Renal Veins , Stents , Stress, Psychological , Thoracic Surgery , Thorax , Vascular DiseasesABSTRACT
Aortic disease usually recurs after aortic surgery in the form a new aneurysm distal to the previous operation site, and finding a penetrating atherosclerotic ulcer proximal to the previous operation site has rarely been reported. We report here on a case of successful patch repair of a ruptured penetrating ulcer in the distal aortic arch, and this developed late after replacement of the descending thoracic aorta.