Trial Short Case 3 April 2024

Case Summary

A 40-year-old lady presents 10 days post Varicose Vein Ligation with palpitations, shortness of breath, sudden collapse, word finding difficulty, which subsequently resolves.  She has a past history of provoked DVT three years ago.  Cerebral imaging reveals an acute, small temporal lobe embolic infarct with limited hemorrhagic change.

Questions

1. What options exist for management?

2. What shapes your decision to pursue or refuse each of these options?

3. You pursue operative management - Describe operative steps and pressure points