Arterial Thromboembolism in a patient with Ischemic Dilated Cradiomypathy (IDCM)
Mrs. Shikha, 51 years old pleasant lady presented to us with the complaints of acute severe pain in the left leg associated with bluish discoloration for 5 days. She is a known case of Ischemic Dilated cardiomyopathy (IDCM) for last 6 years & had history of formation of LV thrombus for repeated times. She was on regular anti-platelets, anti-ischemic & anti-coagulant drugs. Recently her echocardiogram report revealed- IDCM, Mitral regurgitation (gr-11), spontaneous echo contrast within LV, LVEF- 24%. On this admission her CT coronary angiogram of lower limb vessels revealed total occlusion associated with thrombosis of left common iliac, external iliac & internal iliac, distal popliteal, ant. & post. tibial, peroneal arteries, & on right side diffuse atherosclerosis of distal popliteal, ant & post tibial arteries. Patient was treated with anticoagulants, anti platelet, anti-ischemic & other relevant medications & referred to vascular surgeon.
KYAMC Journal Vol.2(1) 2011 pp.149-151