Abstract
The association between air travel and deep venous thrombosis and/or pulmonary embolism “economy-class syndrome” is well described. However, this syndrome does not describe any association between long duration travel and arterial thrombosis or coexistence of venous and arterial thrombosis. We present a case of concomitant deep venous thrombosis, acute femoral artery thrombosis, and bilateral pulmonary embolisms in a patient following commercial air travel. Echocardiogram did not reveal an intracardiac shunt that may have contributed to the acute arterial occlusion from a paradoxical embolus. To our knowledge, this is the first report in the literature that associates air traveling with both arterial and venous thrombosis.
Highlights
The association between air travel and deep venous thrombosis/pulmonary embolism was first reported in 1954 [1]
We report a case of concomitant deep venous thrombosis and acute femoral artery thrombosis along with bilateral pulmonary embolism after a long overseas flight
Rudolf Virchow described a triad that predisposes an individual to thrombosis, which includes immobility, endothelial damage, and hypercoagulability
Summary
The association between air travel and deep venous thrombosis/pulmonary embolism was first reported in 1954 [1]. A few authors have related this condition to long duration travel by car and train [10,11,12]. This syndrome, does not describe an association between long duration travel and arterial thrombosis or the coexistence of venous and arterial thrombosis simultaneously. We report a case of concomitant deep venous thrombosis and acute femoral artery thrombosis along with bilateral pulmonary embolism after a long overseas flight
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