A
68 years old female patient, hypertensive, non-diabetic, under medical
treatment for clinically diagnosed Ischaemic Heart disease, had sudden onset
acute pain in the right arm with development of pallor of the arm and absence
of radial pulse detected by her husband. On hospitalization (district level),
previously undiagnosed atrial fibrillation was detected on ECG, and no pulse
was available distal to the axillary artery. Arterial Doppler examination
confirmed thrombotic occlusion of the axillary artery at the level of neck of
humerus.
Clinical diagnosis was thrombo-embolic occlusion of right axillary
artery following development of atrial fibrillation of unknown duration. As per
the discharge report from the district hospital, she was treated in intensive
care unit with Morphine, Heparin (low molecular0, Clopidogrel and Aspirin. The
next morning an angiogram was performed from right femoral artery, confirming
the clinical diagnosis in addition to a highly tortuous double U-turn
subclsvian artery. She was continued on medical management only and discharged
after 7 days under Warfarin, reporting significantly improved condition of the
arm. Read more....................
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