Multidisciplinary Team Management of Acute Leriche Syndrome due to a Paradoxical Embolism: A Case Report

Kim SH1#, Jang JY2# and Kim KW3*

1Department of Cardiology, CHA Bundang Medical Center, South Korea
2Department of Surgery, CHA Bundang Medical Center, South Korea
3Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, South Korea
#These authors contributed equally to this work

^*Correspondance to: Kwan Wook Kim 

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Abstract:

Clinically insignificant intracardiac shunts such as patent foramen ovale are common in the healthy population, they are not generally associated with a particular pathology. However, paradoxical embolism, defined as abnormal passage of a thromboembolism originating in the venous circulation into the arterial circulation through intracardiac shunts, may be a cause of acute limb ischemia, cryptogenic stroke, myocardial infarction, and ischemic enterocolitis. We report on the case of a 51-year-old male with a history of COVID-19 vaccination one month earlier. Computed tomography for evaluation of abdominal pain, dyspnea, and pain in both lower limbs showed a massive Pulmonary Thromboembolism (PTE), acute Leriche syndrome with ischemia of the lower limbs, and ischemic enterocolitis. Emergent surgery and critical care via management by a multidisciplinary team was required for performance of an aortoiliac embolectomy with support from extracorporeal membrane oxygenation, right hemicolectomy, and mechanical thrombectomy for the massive PTE

Keywords:

Multidisciplinary team; Leriche syndrome; Paradoxical embolism

Cite the Article:

Kim SH, Jang JY, Kim KW. Multidisciplinary Team Management of Acute Leriche Syndrome due to a Paradoxical Embolism: A Case Report. Ann Clin Case Rep. 2024; 9: 2605..