title: Concomitant deep venous thrombosis, femoral artery thrombosis, and pulmonary embolism after air travel.
abstract: The association between air travel and deep venous thrombosis and/or pulmonary embolism "economy-class syndrome" is well described. However, this syndrome does not describe any association between long duration travel and arterial thrombosis or coexistence of venous and arterial thrombosis. We present a case of concomitant deep venous thrombosis, acute femoral artery thrombosis, and bilateral pulmonary embolisms in a patient following commercial air travel. Echocardiogram did not reveal an intracardiac shunt that may have contributed to the acute arterial occlusion from a paradoxical embolus. To our knowledge, this is the first report in the literature that associates air traveling with both arterial and venous thrombosis.
authors.affiliation: The Stanley J. Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Salim
authors.identifier: 0000-0002-9528-9075
authors.initials: S
authors.lastname: Abunnaja
authors.affiliation: The Stanley J. Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Marshall
authors.initials: M
authors.lastname: Clyde
authors.affiliation: The Stanley J. Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Andrea
authors.identifier: 0000-0002-7684-6841
authors.initials: A
authors.lastname: Cuviello
authors.affiliation: The Stanley J. Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Brenes
authors.affiliation: The Stanley J. Dudrick Department of Surgery, Saint Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706, USA.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tripodi