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Related Concept Videos

Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Venous Thrombosis I: Introduction01:30

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
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Peripheral Artery Disease I: Introduction01:30

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Cryptogenic, Embolic Stroke-Looking Backstage.

Prof James Ker1

  • 1Department of Internal Medicine, University of Pretoria, Pretoria, South Africa.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
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PubMed
Summary

This case report details a rare pulmonary venous thrombosis linked to COVID-19, causing embolic stroke. It highlights pulmonary veins as a potential source of arterial thromboembolism, necessitating thorough assessment.

Keywords:
COVID 19EmbolicPulmonary veinsStrokeThrombosis

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Area of Science:

  • Cardiology and Neurology
  • Infectious Diseases

Background:

  • Stroke is a leading cause of disability and death, often resulting from thromboembolism originating in the left atrium, ventricle, or valves.
  • Pulmonary venous thrombosis is an exceedingly rare condition, with limited reported cases.

Observation:

  • This case report presents a patient experiencing an embolic stroke.
  • The identified source of the thrombus was the left inferior pulmonary vein.
  • The condition was associated with a recent COVID-19 infection.

Findings:

  • This represents the fourth documented case of pulmonary venous thrombosis attributed to COVID-19.
  • The findings indicate that pulmonary veins, not just the left atrium, can be the proximal origin of arterial thromboembolism.

Implications:

  • The study suggests that pulmonary veins should be routinely assessed in all patients presenting with arterial thromboembolism.
  • This underscores the need to consider unusual sources of embolism in the context of viral infections like COVID-19.
  • Enhanced diagnostic evaluation of pulmonary veins may improve stroke etiology identification and patient management.