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Multiorgan paradoxical embolism in an elderly female with a patent foramen ovale: a case report.
- Source :
-
Medicine and pharmacy reports [Med Pharm Rep] 2019 Jan; Vol. 92 (1), pp. 83-86. Date of Electronic Publication: 2019 Jan 15. - Publication Year :
- 2019
-
Abstract
- Paradoxical embolism is an uncommon cause of arterial occlusion with a high mortality burden. Current evidence suggests that patent foramen ovale is the most important etiological factor of paradoxical embolism, by acting as a pathway for a thromboembolic material originating from the peripheral veins, passing through the lungs and entering the systemic circulation. Here we present a case of paradoxical embolism in the mesenteric and renal arteries associated with pulmonary embolism and deep vein thrombosis in an elderly woman with no predisposing risk factor. A diagnosis of paradoxical embolism was considered and the presence of a patent foramen ovale was consequently confirmed with a transesophageal echocardiography. Urgent thrombolysis saved the life of the patient. Paradoxical embolism represents an emergency and therefore prompt diagnosis and initiation of therapy may prevent adverse outcomes.
Details
- Language :
- English
- ISSN :
- 2668-0572
- Volume :
- 92
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Medicine and pharmacy reports
- Publication Type :
- Report
- Accession number :
- 30957092
- Full Text :
- https://doi.org/10.15386/cjmed-1031