Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Bilateral brachial artery emboli presenting as aortic dissection.

S Dahlberg1, M Burke, J M Gore

  • 1Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester 01655.

Archives of Internal Medicine
|June 1, 1989
PubMed
Summary

Chest pain and loss of pulses can mimic aortic dissection. This case highlights mitral stenosis as a cause of bilateral brachial artery emboli, a rare presentation.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Declining Long-term Risk of Adverse Events after First-time Community-presenting Venous Thromboembolism: The Population-based Worcester VTE Study (1999 to 2009).

Thrombosis research·2015
Same author

Six-month survival benefits associated with clinical guideline recommendations in acute coronary syndromes.

Heart (British Cardiac Society)·2010
Same author

The Global Registry of Acute Coronary Events, 1999 to 2009--GRACE.

Heart (British Cardiac Society)·2010
Same author

Temporal trends in the use of invasive cardiac procedures for non-ST segment elevation acute coronary syndromes according to initial risk stratification.

The Canadian journal of cardiology·2009
Same author

Relationship of treatment delays and mortality in patients undergoing fibrinolysis and primary percutaneous coronary intervention. The Global Registry of Acute Coronary Events.

Heart (British Cardiac Society)·2007
Same author

Outcomes with the use of glycoprotein IIb/IIIa inhibitors in non-ST-segment elevation acute coronary syndromes.

Heart (British Cardiac Society)·2007

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Internal Medicine

Background:

  • Aortic dissection is a critical condition often presenting with chest pain and diminished peripheral pulses.
  • Peripheral pulse deficits require prompt evaluation to rule out life-threatening vascular emergencies.
  • Mitral stenosis is a common valvular heart disease, typically associated with different clinical manifestations.

Observation:

  • An 80-year-old female experienced chest pain and acute bilateral loss of upper extremity pulses.
  • Initial assessment suggested aortic dissection due to the presenting symptoms.
  • Physical examination and echocardiography revealed findings consistent with mitral stenosis.

Findings:

  • Angiography demonstrated bilateral brachial artery emboli as the cause of the pulse deficits.

Related Experiment Videos

  • The patient underwent successful embolectomy for the brachial artery emboli.
  • This case is the first documented instance of simultaneous bilateral brachial artery emboli in the context of mitral stenosis.

    • Implications:

    • Mitral stenosis should be considered in the differential diagnosis of patients presenting with acute limb ischemia and chest pain.
    • This case expands the known clinical spectrum of mitral stenosis complications.
    • Highlights the importance of comprehensive vascular and cardiac evaluation in complex presentations.