Aorto-subclavian thromboembolism: a rare complication associated with moderate ovarian hyperstimulation syndrome
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Complications and sequelae Thrombosis--Chemotherapy Thrombolysis Fibrinolytic therapy Womyn Wimmin Woman Womon Human females People Man Humanity (Human beings) Human race Mankind Homo sapiens Humankind Humans Case Embryo transfer Transfer of embryo CounsellingCiter ce document
M. Germond et al., « Aorto-subclavian thromboembolism: a rare complication associated with moderate ovarian hyperstimulation syndrome », Serveur académique Lausannois, ID : 10.1093/oxfordjournals.humrep.a019349
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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.