The patient was brought to the emergency room because of symptoms related to right arm circulation disorder and peripheral arterial embolism
was detected in the right brachial artery.
Ruckert, "Thrombus in the non-aneurysmal, nonatherosclerotic descending thoracic aorta - An unusual source of arterial embolism
," European Journal of Vascular and Endovascular Surgery, vol.
Thrombus in transit leading to systemic arterial embolism
is a rare echocardiographic finding in patients presenting with embolic stroke.
All these patients had no clinical evidence of systemic embolization at admission nor they had any history of cerebrovascular accident or limb arterial embolism
Thromboembolism secondary to atrial fibrillation (AF) accounts for 25% of all strokes , but arterial embolism
of the extremities is not as rare and especially not as benign as it was considered in the past and contemporary data regarding this problem are sparse.
They include retrograde venous spread, retrograde lymphatic spread, arterial embolism
spread, and local direct extension.[sup.5] Due to the generous communication between pelvic venous plexuses and dorsal venous system, retrograde venous spread is considered the most possible mechanism.
The most common hypothesis suggested is the direct irritation of the vasculature, owing to arterial embolism
, caused by the drug along with drug crystallization with the development of arteriovenous shunt and ischemia secondary to para-arterial injection.
Large mobile tirrombus in non-atherosclerotic thoracic aorta as the source of peripheral arterial embolism
. Thromb j.
Other risk factors examined in the study included previous heart attack, peripheral artery disease, arterial embolism
, excessive alcohol consumption, heart failure, carotid stenosis, retinal occlusion, chronic systemic inflammation, chronic kidney disease, venous thromboembolism, epilepsy, migraine, type 2 diabetes, hypertension and being older than 75.