An 88-year-old woman presented with thrombo-embolic disease of the left upper extremity manifested by the classical signs of pain, paresthesias, pallor, pulselessness, and poikilothermia. She was found to have a thrombo-embolus in the left distal brachial artery as well as two large thrombi in the aortic arch and proximal descending aorta. Initial surgical intervention included a left upper ext...

1042 April 2014 T difficulty in determining pulselessness via manual palpation in simulated cardiopulmonary resuscitation (CPR) has been well documented in the literature. Previous studies have suggested that trained medical personnel demonstrate a specificity of only 55% for the manual diagnoses of pulselessness.1 Other research has confirmed the poor diagnostic accuracy of manual pulse checks...

BACKGROUND One of the rare aortic congenital abnormalities is right sided aortic arch which is occurred in approximately 0.1% of the population. The anomalous origin of the subclavian arteries has also been reported. CASE REPORT In this study, a case of a right-sided aortic arch with anomalous left subclavian artery origin from the cerebral arteries is presented which was diagnosed in Compute...

Previous reports have suggested that the blood supply derived from the anterior tibial artery is absent or markedly diminished in 85% of severe, untreated club feet. To investigate these claims, we used a Doppler technique to study the arterial pulses in 40 children with 63 club feet. In feet with mild or moderate deformities the anterior tibial pulse was always present; in feet with severe def...

The leg has four compartments anterior, lateral, superficial and deep posterior which are prone to produce ischaemic damage to muscle and nerves when intractable swelling is present. The clinical picture of the acute compartment syndrome comprises symptoms such of pain, pallor, paresthesia, pulselessness and finally, paralysis. The syndrome in its chronic form is seen in long distance runners a...

We report a case of a 53 year-old man with a history of hypertension presenting with acute left lower extremity parasthesias and pulselessness initially presumed to be secondary to arterial thrombosis or embolism. Work-up included a transthoracic echocardiogram which revealed an aortic dissection at the level of the aortic root extending to the visualized portions of the descending aorta. Type ...

Takayasu disease, first described by a Japanese ophthalmologist in 1908, is a chronic inflammatory arteriopathy characteristically diagnosed in young Oriental women. I It might be more common among the white population than previously appreciated, as its incidence is estimated to be 2.6 in 1,000,000 each year. The median delay from the first symptom to the time of diagnosis in the United States...

Compartment syndrome is a rare vascular disorder and an orthopedic emergency caused by high intramuscular pressure following bone fractures and some other etiologies. It mostly involves extremities, but can affect other parts of the body. The syndrome is diagnosed based on extensively varying signs and symptoms including feeling pain, pallor, pulselessness, and some other signs among patients. ...

Coronary angiography via the radial artery has been widely used in clinical practice. The radial access has the major advantages of fewer traumas, quicker recovery, better hemostasis and lower incidence of complications of puncturefor unnecessarily postoperative oppression. Although literature of forearm compartment syndrome (FCS) after angiography is scarce, however, the FCS could have disastr...