Back to Search Start Over

Paradoxical cerebral embolism in a patient with Paget-Schroetter syndrome.

Paradoxical cerebral embolism in a patient with Paget-Schroetter syndrome.

Authors :
Aoyama T
Suehiro S
Shibata T
Sasaki Y
Fujii H
Source :
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia [Ann Thorac Cardiovasc Surg] 2005 Dec; Vol. 11 (6), pp. 429-31.
Publication Year :
2005

Abstract

A 28-year-old man presented with transient speech disturbance and right hemiplegia. Computed tomography of the brain revealed a low-density area in the right cerebellum. A ventilation/perfusion lung scintiscan detected multiple perfusion defects in the both lungs and catheterization revealed pulmonary hypertension. Venography of the upper extremities revealed obstruction of the left subclavian vein. Furthermore, Doppler echocardiography revealed a right-to-left shunt via a patent foramen ovale. Those examinations demonstrated paradoxical cerebral embolism caused by Paget-Schroetter syndrome, which is a rare complication of the disorder. We hypothesize that the source of thrombi was the left subclavian vein and surgery was needed to prevent further thromboembolic events. At surgery, the upper half of the sternum was incised in the midline, and the left brachiocephalic vein was ligated. No thromboembolic episodes have occurred postoperatively.

Details

Language :
English
ISSN :
1341-1098
Volume :
11
Issue :
6
Database :
MEDLINE
Journal :
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Publication Type :
Academic Journal
Accession number :
16401997