• Logo
  • SBMUJournals

Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report

Mohammad Khani, Fariba Bayat, Atoosheh Rohani, Mehdi Pishgahi
126

Views

PDF

Abstract

Patent foramen ovale (PFO) is usually asymptomatic; however, it could be quite dangerous for patients with right side clot in which thrombus can transmit the PFO and paradoxically emboli to systemic circulation. Here we present a patient with ankle fracture and paradoxical embolus to the brain, who was successfully treated with emergent thrombectomy, inferior vena cava (IVC) filter placement and anticoagulation therapy. Despite the high rate of mortality in these patients, fortunately our patient survived with surgical treatment.


Keywords

Venous thrombosis; pulmonary embolism; embolism, paradoxical; patent foramen ovale; thrombolytic therapy

References

Johnson BI. Paradoxical embolism. Journal of clinical pathology. 1951;4(3):316-32.

Hara H. Patent foramen ovale [updated Jan 25, 2018.].

Rigatelli G, Rigatelli A. Closing patent foramen ovale in cryptogenic stroke: The underscored importance of other interatrial shunt variants. World journal of cardiology. 2015;7(6):326.

d'Audiffret A, Shenoy S, Ricotta J, Dryjski M. The role of thrombolytic therapy in the management of paradoxical embolism. Cardiovascular Surgery. 1998;6(3):302-6.

Konstantinides S, Geibel A, Kasper W, Olschewski M, Blümel L, Just H. Patent foramen ovale is an important predictor of adverse outcome in patients with major pulmonary embolism. Circulation. 1998;97(19):1946-51.

Seiler C. Patent foramen ovale (PFO): is there life before death in the presence of PFO? European journal of clinical investigation. 2015;45(8):875-82.

Goldhaber SZ. Unsolved issues in the treatment of pulmonary embolism. Thrombosis research. 2001;103(6):V245-V55.

Zanchetta M, Rigatelli G, Pedon L, Zennaro M, Carrozza A, Onorato E. Catheter closure of perforated secundum atrial septal defect under intracardiac echocardiographic guidance using a single amplatzer device: feasibility of a new method. The Journal of invasive cardiology. 2005;17(5):262-5.

Caretta G, Robba D, Bonadei I, Teli M, Fontanella B, Vizzardi E, et al. Multiorgan paradoxical embolism consequent to acute pulmonary thromboembolism with patent foramen ovale: a case report. Cases Journal. 2009;2(1):8358.

Chant H, McCollum C. Stroke in young adults: the role of paradoxical embolism. Thrombosis and haemostasis. 2001;85(01):22-9.

Chartier L, Béra J, Delomez M, Asseman P, Beregi J-P, Bauchart J-J, et al. Free-floating thrombi in the right heart: diagnosis, management, and prognostic indexes in 38 consecutive patients. Circulation. 1999;99(21):2779-83.

Pishgahi M, Alirezaei T, Hajimoradi B, Nekooghadam SM, Shahi S. Systemic fibrinolytic therapy in the presence of absolute contraindication; a case series. Emergency. 2018;6(1):25.




DOI: https://doi.org/10.22037/emergency.v6i1.22435

Refbacks

  • There are currently no refbacks.