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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2000 August;41(4):631-2

language: English

Upper limb ischemia induced by chronic licorice ingestion

Lozano P., Flores D., Martínez S., Artigues I., Rimbau E. M., Gómez F.

From the Depart­ment of Angi­ology and Vas­cular Sur­gery, Son ­Dureta Hos­pital Ciutat de Mal­lorca, ­Balearic ­Islands, ­Spain


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A ­young ­woman had an ­acute ­embolic epi­sode ­that ­affected her ­right ­upper ­limb. An ­axillo-bra­chial throm­boem­bo­lec­tomy was per­formed ­after ­which ­distal ­pulses ­were recov­ered. The ­patient had a ­long ­lasting his­tory, ­longer ­than ten ­years, of con­tin­uous lic­o­rice inges­tion. ­Blood sam­ples ­showed ­severe hypo­ka­liemia ­that ­caused EKG ­changes. Tran­se­soph­a­geal ech­o­car­di­o­gram dis­cov­ered ­mild ­mitral ­valve pro­lapse. The com­bi­na­tion of sur­gery and potas­sium sup­ple­ments was suc­cessful in ­treating ­this ­rare and poten­tially ­life-threat­ening dis­ease.

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