Acute Brachial Artery Occlusion in an Elderly Patient With Acute Myocardial Ischemia.
We present a case of left upper extremity paresis secondary to acute brachial artery occlusion in an elderly female with active non-ST segment elevation myocardial ischemia (NSTEMI) in the setting of paroxysmal atrial fibrillation. The patient was initially suspected to have a cerebrovascular attack (CVA); however, computed tomography (CT) head was negative for acute stroke. The diagnosis was confirmed by computed tomographic angiography (CTA) of the upper extremity, confirming the diagnosis of acute left brachial artery occlusion. In evaluating a patient with concern for acute stroke with atypical presentation, it is essential to obtain a complete history and perform a rapid and thorough examination. Acute limb ischemia (ALI) should be considered in the differential diagnosis of CVA with atypical presentation.
Published In/Presented At
Ologun, G. O., Bohan, C., Lau, T., Sultany, M., Trecartin, A., Wolfe, Z., Marica, S., Sampson, L., & Ballehaninna, U. (2017). Acute Brachial Artery Occlusion in an Elderly Patient With Acute Myocardial Ischemia. Cureus, 9(9), e1700. https://doi.org/10.7759/cureus.1700
Medicine and Health Sciences
Department of Medicine