Case 5/2015 - 88-Year-Old Female with Chronic Coronary Artery Disease, Upper Limb Thrombosis, Atrial Fibrillation and Cardiac Arrest

Marçula, Magaly; Aiello, Vera Demarchi

doi:10.5935/abc.20150143

Cited by 1 publication

(1 citation statement)

References 19 publications

(22 reference statements)

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“…Another reported case documented a patient with a history of coronary artery disease who developed UE DVT and subsequently experienced a fatal CA [ 13 ]. Unlike our case, where the DVT was identified post-CA, this patient developed DVT before the CA.…”

Section: Discussionmentioning

confidence: 99%

Dual Cardiac Arrests Leading to Hypercoagulability and Extensive Upper Extremity Deep Vein Thrombosis: A Hematological Case Report

Zolotov,

Bitton,

Sigal

et al. 2024

Cureus

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Upper extremity (UE) deep vein thrombosis (DVT) is a rare yet significant complication that can occur following cardiac arrest (CA). CA initiates a prothrombotic state via various processes, including stasis, endothelial damage, and an impaired balance between thrombogenesis and fibrinolysis, which may contribute to UE DVT formation. Inadequate cardiopulmonary resuscitation (CPR) in the field may further exacerbate blood stasis and clot formation.This case report describes an 80-year-old male with a history of bladder cancer who experienced two cardiac arrest events and subsequently developed an extensive left UE DVT. Despite treatment with a heparin drip and other supportive measures, the patient's condition deteriorated, and he passed away on the tenth day of hospitalization. This case is the first to describe UE DVT post-CA. It underscores the importance of recognizing and proactively managing hypercoagulable states post-CA, which can lead to significant DVTs in atypical locations that may evolve into life-threatening conditions.

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Section: Discussionmentioning

confidence: 99%