IMPENDING PARADOXICAL EMBOLISM - A CASE-REPORT AND LITERATURE-REVIEW

被引:31
作者
HARGREAVES, M
MALONEY, D
GRIBBIN, B
WESTABY, S
机构
[1] JOHN RADCLIFFE HOSP,DEPT CARDIOL,OXFORD OX3 9DU,ENGLAND
[2] JOHN RADCLIFFE HOSP,DEPT CARDIOTHORAC SURG,OXFORD OX3 9DU,ENGLAND
关键词
PARADOXICAL EMBOLISM; PATENT FORAMEN OVALE; ECHOCARDIOGRAPHY; PULMONARY EMBOLECTOMY;
D O I
10.1093/oxfordjournals.eurheartj.a060667
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Paradoxical embolism occurs following the passage of embolic material from the venous to the arterial circulation through a right to left shunt-frequently a patent foramen ovale. The diagnosis is usually presumptive when arterial emboli occur in the appropriate clinical setting. We describe a case of impending paradoxical embolism in a patient with massive pulmonary embolism. Transoesophageal echocardiography revealed a thromboembolus straddling a patent foramen ovale. The patient underwent emergency removal of the intracardiac clot with closure of the patent foramen ovale. © 1994 The European Society of Cardiology.
引用
收藏
页码:1284 / 1285
页数:2
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