ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Case Report
Coexistence of iliac artery thrombosis and acute myocardial infarction: a rare clinical entity
Abstract
Acute myocardial infarction (AMI) concomitant with iliac artery thrombosis in the absence of underlying hematological disorders or cardiac arrhythmias is an exceedingly rare clinical entity. We report a case of a 55-year-old male with a history of hypertension and chronic smoking who presented with epigastric pain and nausea. On initial evaluation, electrocardiography showed no ST-segment elevation. While under observation, the patient developed abrupt-onset, severe pain in the left lower limb. A subsequent electrocardiogram demonstrated ST-segment elevation in leads II, III, and aVF, consistent with an inferior ST-segment elevation myocardial infarction (STEMI). Given the concomitant onset of lower limb pain, thoracoabdominal computed tomographic angiography was promptly performed, revealing complete occlusion of the left common iliac artery with extension into the internal and external iliac arteries. The patient underwent emergent primary percutaneous coronary intervention with successful stent deployment in the right coronary artery, followed by referral to a tertiary vascular surgery center for definitive management of the iliac artery thrombosis. This case underscores the importance of maintaining a high index of suspicion for multiple simultaneous vascular events in the setting of acute coronary syndromes, particularly when novel or atypical symptoms develop.

Keywords : Acute myocardial infarction, iliac artery thrombosis, smoking, hypertension, case report

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Article available in :
Volume 3, Issue 4, 2025
Page : 88-90
https://doi.org/10.51271/ICJEM-0066
Article Information
Received : 30 Eki 2025
Accepted : 25 Ara 2025
Published : 26 Ara 2025
Corresponding Author :

Muhammed Enes Taysi: Department of Emergency Medicine, Çankırı State Hospital, Çankırı, Turkiye

[email protected]
Citation : Taysı ME,Karaoğlu F, Demirel ME. Coexistence of iliac artery thrombosis and acute myocardial infarction: a rare clinical entity. Intercont J Emerg Med. 2025;3(4):88-90.

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