AORTO-SUBCLAVIAN THROMBOEMBOLISM - A RARE COMPLICATION ASSOCIATED WITH MODERATE OVARIAN HYPERSTIMULATION SYNDROME

The case of an arterial aorto-subclavian thromboembolism associated wi th a moderate ovarian hyperstimulation syndrome (OHSS) and following o vulation induction for in-vitro fertilization in a young woman is repo rted, Because of the lack of response to systemic thrombolysis, a left postero-lateral thoracotomy was performed on day 8 after embryo trans fer, A fibrinocruoric embolus situated at the junction of the left sub clavian artery from the aorta was removed through a left subclavian ar teriotomy, The distal axillary embolus was removed by a retrograde bal loon catheter embolectomy, A moderate OHSS was observed. The ovarian s timulation and OHSS-related risks of thromboembolism are discussed, We conclude that, in the absence of risk factors, counselling about poss ible complications resulting from stimulation must be emphasized.