the patient is 64 and the last 7 December she was hospitalized due to an antero-apical infarction with ischemic stroke of cardio-embolic origin caused by apical thrombosis of the left ventricle with aphasia.
She takes Coumadin and since the 23 of January she has been diagnosed with an asleep ulcer to the right leg ankle, characterized by a mixed granulating base, with partial adherent fibrin, which is being treated. Everything began with a simple hematoma, treated for nearly a month with Ematonil.
The patient suffered from venous ulcer to the left leg medial malleolus, which completely healed during hospitalization. When she got visited by the vascular surgeon, it was diagnosed that it is not a vascular ulcer; thus it doesn’t deserve revascularization and the cause is mainly attributable to Coumadin. However, according to the cardiologist it can’t be suspended, substituted by LMWH or other.
I was asking for your opinion or advice, if possible. I hope I have been exhaustive.
Thank you very much,