Aorto-subclavian thromboembolism: a rare complication associated with moderate ovarian hyperstimulation syndrome

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Serval ID
serval:BIB_936FADEB8DA1
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Aorto-subclavian thromboembolism: a rare complication associated with moderate ovarian hyperstimulation syndrome
Journal
Human Reproduction
Author(s)
Germond M., Wirthner D., Thorin D., Ruchat P., Essinger A., De Grandi P.
ISSN
0268-1161 (Print)
Publication state
Published
Issued date
06/1996
Volume
11
Number
6
Pages
1173-6
Language
english
Notes
Case Reports
Journal Article --- Old month value: Jun
Abstract
The case of an arterial aorto-subclavian thromboembolism associated with a moderate ovarian hyperstimulation syndrome (OHSS) and following ovulation induction for in-vitro fertilization in a young woman is reported. Because of the lack of response to systemic thrombolysis, a left postero-lateral thoracotomy was performed on day 8 after embryo transfer. A fibrinocruoric embolus situated at the junction of the left subclavian artery from the aorta was removed through a left subclavian arteriotomy. The distal axillary embolus was removed by a retrograde balloon catheter embolectomy. A moderate OHSS was observed. The ovarian stimulation and OHSS-related risks of thromboembolism are discussed. We conclude that, in the absence of risk factors, counselling about possible complications resulting from stimulation must be emphasized.
Keywords
Adult Aorta Chorionic Gonadotropin/therapeutic use Female Gonadotropin-Releasing Hormone/agonists Humans Menotropins/therapeutic use Ovarian Hyperstimulation Syndrome/*complications Ovulation Induction/*adverse effects/methods Subclavian Artery Thromboembolism/*etiology Triptorelin/therapeutic use
Pubmed
Web of science
Open Access
Yes
Create date
28/01/2008 10:39
Last modification date
14/02/2022 8:56
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