Acute Arterial Occlusion after Treatment of Heart Failure

Arterial occlusion is a rare, serious complication in the treatment of acute decompensated heart failure with loop diuretics. A 66- year old male patient with acute decompensated heart failure was treated with loop diuretics after which occlusion of the left side of the patients’ aortic bifurcation prosthesis occurred. For acute leg ischemia a thrombectomy with a high mortality risk was performed after which perfusion of the leg increased and the clinical condition of the patient improved rapidly. Thus to improve the cardiac condition in a patient suffering from decompensated heart failure and acute arterial occlusion a multidisciplinary approach is necessary.