Chronic popliteal and below-the-knee occlusion
From the Division of Angiology and Cardiology University Hospital, Geneva (Switzerland)
A 57 year-old-male first admitted to hospital three months prior current hospitalization for dyspnea. CT scan revealed a pulmonary embolism. Transthoracic and transesophageal echocardiographies showed left ventricular apical thrombus and an antero-septo-apical akinesia with LV ejection fraction of 30% as well as a right-to-left shunt. The patient was suffering claudication.