Unusual radiological diagnosis of pleurisy

Although embolectomy by Fogarty's manoeuvre is the therapy of choice for cardio-arterial and arterio-arterial embolism it might be followed by complications. Our patient showed progressive arterial occlusive disease caused by intimal proliferation. So the decision whether embolectomy or a different therapeutic procedure should be applied must always be done individually. Especially with young female patients the intervention is to be carried out carefully. Alternative methods like percutaneous aspiration embolectomy and fibrinolytic therapy should always be considered.