Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2885997 | Annals of Vascular Surgery | 2015 | 5 Pages |
Abstract
β-thalassemia major promotes atherosclerotic process, although the debating literature concerning the lipidic profile of young patients; it is well accepted that there is early vascular destruction in these homozygous patients either as a direct consequence of the genetic disorder per se or because of the repeated transfusions and the iron overload. Despite the potential of the disease for local brain thrombotic events, accelerated atheromatosis can lead to early thromboembolic events. We present an interesting case of a 36-year-old man with unilateral embolic infarcts (repeated transient ischemic attacks) originated from a near occlusion right carotid stenosis with additional peripheral thrombus. The patient underwent a successful carotid endarterectomy with primary arterial closure with uneventful postoperative course, confirmed by a clear postoperative angiography; he remains asymptomatic 18 months later. To the best of our knowledge, this is the first case of a young symptomatic patient with β-thalassemia major who underwent carotid repair.
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Authors
Thomas Kotsis, Evangelos Pappas, Georgios Sarmas, Sofia Basilopoulou, Achilles Hatzioannou, Kassiani Theodoraki, Spyridon Mylonas, Konstantinos Speggos,