• Ann Fr Anesth Reanim · Jan 2014

    Case Reports

    [No surgery without previous compression ultrasound in patients with a superficial venous thrombosis: A case of massive paradoxical embolism.]

    • B Tardy, Q Reynaud, J Catella, and P Lafond.
    • Service de médecine interne, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France. Electronic address: quitteriereynaud@gmail.com.
    • Ann Fr Anesth Reanim. 2014 Jan 1;33(1):41-3.

    AbstractLower limbs superficial venous thrombosis (LLSVT) is usually considered as common and of a benign prognosis. LLSVT can, however, be responsible for major thromboembolic complications: lower limbs deep vein thrombosis (LLDVT) and pulmonary embolism (PE). We report a case of a LLSVT complicated with a massive bilateral PE and an ischemic cerebral stroke, occurring immediately after a varicose vein surgery. Venous ultrasonography of the lower limbs must be systematically performed in case of LLSVT, in order to evaluate the presence of an associated LLDVT. A rigorous diagnostic and therapeutic approach is the only way to optimize the treatment of this disorder, and to avoid the occurrence of dramatic venous thromboembolic complications.Copyright © 2013. Published by Elsevier SAS.

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