PMC6393941_01
Echo Doppler showing floating thrombus: in the left side notes the site of implantation of the thrombus and discontinuity of the intima, suggesting dissection of the artery.
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PMC6393941_01_10.1177_2050313X19831117-fig1.jpg
fig1-2050313X19831117
An ultrasound examination of the neck vessels after the MRI showed a floating thrombosis 3 cm in length, originating in the left common carotid vessel; we also found a sort of small tear at the level of the intima (Figure 1).
Intraoperative finding: intima disruption at the point of origin of the thrombus.
10.1177_2050313X19831117-fig2.jpg
PMC6393941_01_10.1177_2050313X19831117-fig2.jpg
fig2-2050313X19831117
Therapy with systemic heparin 25,000 UI/24 h was promptly established and, after a joint evaluation by the neurologist, gynecologist, and vascular surgeon, a surgical resection of the common carotid artery involved in the dissection and thrombosis was planned and performed in association with the interposition of a 6-mm knitted Dacron artery prosthesis (Figures 2-4).
Intraoperative speciment: thrombus after removal.
10.1177_2050313X19831117-fig3.jpg
PMC6393941_01_10.1177_2050313X19831117-fig3.jpg
fig3-2050313X19831117
Therapy with systemic heparin 25,000 UI/24 h was promptly established and, after a joint evaluation by the neurologist, gynecologist, and vascular surgeon, a surgical resection of the common carotid artery involved in the dissection and thrombosis was planned and performed in association with the interposition of a 6-mm knitted Dacron artery prosthesis (Figures 2-4).
Intraoperative findings: interposition of a 6-mm Dacron left common carotid prosthesis.
10.1177_2050313X19831117-fig4.jpg
PMC6393941_01_10.1177_2050313X19831117-fig4.jpg
fig4-2050313X19831117
Therapy with systemic heparin 25,000 UI/24 h was promptly established and, after a joint evaluation by the neurologist, gynecologist, and vascular surgeon, a surgical resection of the common carotid artery involved in the dissection and thrombosis was planned and performed in association with the interposition of a 6-mm knitted Dacron artery prosthesis (Figures 2-4).
Eumorphic gestational room in a normo system with only one live embryo.
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PMC6393941_01_10.1177_2050313X19831117-fig5.jpg
fig5-2050313X19831117
A postoperative transvaginal ultrasonography examination of the pelvis was performed (Figure 5), which documented an eumorphic gestational room in a normo system with only one live embryo, normal cardiac activity (M-mode), and motor patterns.