A 25-year-old female patient presented with sudden onset of bilateral lower limb pain and swelling for 2 days. She has a history of rheumatic heart disease and underwent cardiac surgery at age 15. Examination found signs of congestive cardiac failure and bilateral lower limb ischemia. Imaging revealed a saddle embolism of the aorta. She underwent bilateral transfemoral embolectomy and was discharged after recovery with anticoagulation medication.

1. Dr TEFFY JOSE M4 UNIT PROF. Dr G ELANGOVAN’S UNIT

10. Investigations CBC - Hb 10 TC 6,700 DC P64 L35 E1 ESR 6/12 PCV 31 platelet 1,80,000 RFT - RBS 130 Urea 18 Creatinine 0.6 sodium 138 potassium 4.8 urine routine normal LFT – T Bil 0.8 D Bil 0.5 SGOT 37 SGPT 39 ALP 70 T protein 6.5 S albumin 4.5 FLP – T CH 160 TG 130 HDL 45 LDL 60

11. others HIV Negative Blood culture sensitivity No growth USG abdomen & pelvis Normal study PT 14.5 aPTT 38 INR 1.2