74yr old female was diagnosed to have rheumatic hea disease. She underwent valve replacement surgery, after few days she staed to complain of numbness and inability to move her left leg. Femoral, popliteal & pedal impulses were not felt on left side of pt. but . side examination of lower leg was normal. What is most appropriate management in this patient?
It is a case of Acute aerial insufficiency leading to neurological compromise Other non invasive testing is not required (Duplex scan/CT Angiography) as they will delay the treatment process. Embolectomy of femoral aery can be performed under local anesthesia and has minimum risk to pt. Exploration of contralateral side is not required in absence of signs and symptoms of other side.
CT angiogram of bilateral lower extremities
Embolectomy of the left femoral aery
Duplex imaging of the left lower extremity aeries
CT angiogram of the left lower extremity
Aerial disorders