title: [No surgery without previous compression ultrasound in patients with a superficial venous thrombosis: a case of massive paradoxical embolism].
abstract: Lower 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.
authors.affiliation: Service de médecine interne, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France. Electronic address: quitteriereynaud@gmail.com.
authors.forename: Q
authors.initials: Q
authors.lastname: Reynaud
authors.affiliation: Service de médecine interne, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
authors.forename: J
authors.initials: J
authors.lastname: Catella
authors.affiliation: Service d'urgence et de réanimation médicale, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
authors.forename: E
authors.initials: E
authors.lastname: Diconne
authors.affiliation: Service d'urgence et de réanimation médicale, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
authors.forename: P
authors.initials: P
authors.lastname: Lafond
authors.affiliation: Service d'urgence et de réanimation médicale, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
authors.forename: B
authors.initials: B
authors.lastname: Tardy
mesh_terms: D002545:Brain Ischemia / Q000150:complications*; D004417:Dyspnea / Q000209:etiology; D019320:Embolism, Paradoxical / Q000209:etiology*; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D035002:Lower Extremity / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications*; D020521:Stroke / Q000150:complications*; D013575:Syncope / Q000209:etiology; D014463:Ultrasonography; D014648:Varicose Veins / Q000601:surgery; D020246:Venous Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*
keywords: Accident vasculaire cérébral ischémique; Embolie pulmonaire; Foramen ovale perméable; Ischemic cerebral stroke; Patent foramen oval; Pulmonary embolism; Stripping de varices; Superficial venous thrombosis; Thrombose veineuse superficielle; Varicose surgery