Rheumatic mitral stenosis presenting as acute abdominal aortic occlusion and foot drop.
Systemic thromboembolism in not an infrequent complication of rheumatic mitral stenosis. We report a case of acute abdominal aortic occlusion due to rheumatic mitral stenosis, in the absence of atrial fibrillation, mimicking spinal cord compression. Systemic streptokinase given 48 hours after symptom's onset lead to rapid and dramatic recovery with limb salvage.
Ahmed
Waqas
W
Department of Cardiology, Shifa International Hospital, Islamabad. pakdoc786@yahoo.com
Bashir
Uzma
U
Akhtar
Naveed
N
Shah
Mumtaz Ali
MA
D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000188:drug therapy / Q000209:etiology*; D001157:Arterial Occlusive Diseases / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications / Q000175:diagnosis*; D012214:Rheumatic Heart Disease / Q000150:complications / Q000175:diagnosis*; D013300:Streptokinase / Q000627:therapeutic use
D005343:Fibrinolytic Agents; D013300:Streptokinase