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Case Report

Brachial Artery Pseudoaneurysm Related Causally to Iatrogenic Coagulopathy in a Patient of Rheumatic Heart Disease with Prosthetic Mechanical Mitral Valve

Alka Verma, O P Sanjeev, Swati null, Tapas Kumar Singh

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his license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Indian Journal of Emergency Medicine 8(4):p 153-155, October-December 2022. | DOI: https://doi.org/10.21088/ijem.2395.311X.8422.9

How Cite This Article:

O P Sanjeev, Alka Verma, Swati, et. al./Brachial Artery Pseudoaneurysm related causally to Iatrogenic Coagulopathy in a patient of Rheumatic Heart Disease with Prosthetic Mechanical Mitral Valve/Indian J Emerg Med 2022;8(4):153–155.

Timeline

Received : September 02, 2022         Accepted : October 04, 2022          Published : December 25, 2022

Abstract

Brachial arterial pseudoaneurysms are rare arterial disorders. Usually, they are always related to myriad underlying pathologies ranging from atherosclerosis, and connective tissue disorders to traumatic injuries as trivial as iatrogenic arterial puncture during phlebotomy. We report a case of a 35-year-old female who presented with ecchymosis all over the distal half of the right arm and proximal forearm with pain and tenderness. She was taking an oral anticoagulant (acenocoumarol 2 mg daily) for thromboprophylaxis of the prosthetic mechanical mitral valve. On baseline investigations, her prothrombin time was more than 90 seconds and her INR was more than 7. On USG, muscular hematoma along with a small pseudoaneurysm measuring 20 mm x 16 mm was detected at midarm. She denied any trauma in past. She was conservatively managed with vitamin K, transfusion of fresh frozen plasma, analgesics, and topical medications. She was discharged from ED after 48 hours of observation.

References

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

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Cite this article

O P Sanjeev, Alka Verma, Swati, et. al./Brachial Artery Pseudoaneurysm related causally to Iatrogenic Coagulopathy in a patient of Rheumatic Heart Disease with Prosthetic Mechanical Mitral Valve/Indian J Emerg Med 2022;8(4):153–155.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

his license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
September 02, 2022 October 04, 2022 December 25, 2022
DOI: https://doi.org/10.21088/ijem.2395.311X.8422.9

Keywords

PseudoaneurysmBrachial ArteryCoagulopathy

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Timeline

Received September 02, 2022
Accepted October 04, 2022
Published December 25, 2022

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

his license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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