Cerebral paradoxical embolism associated with patent foramen ovale and idiopathic venous thromboembolism in a 31-year-old patient.

Autor: Timnou Bekouti J; Department of Cardiology, Dax-Côte d'Argent Hospital, Dax, France., Ravakiniaina Ranaivosoa M; Department of Cardiology, Dax-Côte d'Argent Hospital, Dax, France., Adossou AC; Department of radiology, Veterans Affairs Hospital, Houston, TX, USA., Diawara A; Department of Neurology, Dax-Côte d'Argent Hospital, Dax, France., Camara A; Department of Neurology, Dax-Côte d'Argent Hospital, Dax, France., Rambolarimanana M; Department of Cardiology, Dax-Côte d'Argent Hospital, Dax, France., Lawani P; Department of Cardiology, Dax-Côte d'Argent Hospital, Dax, France., Ranjatson A; Department of Cardiology, Dax-Côte d'Argent Hospital, Dax, France., Houeze R; Department of Neurology, Dax-Côte d'Argent Hospital, Dax, France., Roynard JL; Department of Cardiology, Dax-Côte d'Argent Hospital, Dax, France.
Jazyk: angličtina
Zdroj: Oxford medical case reports [Oxf Med Case Reports] 2020 Jul 24; Vol. 2020 (7), pp. omaa052. Date of Electronic Publication: 2020 Jul 24 (Print Publication: 2020).
DOI: 10.1093/omcr/omaa052
Abstrakt: Paradoxical embolism is the passage of venous thrombi into the arterial circulation through a pulmonary or intracardiac shunt. We report the management of a 31-year-old patient who initially presented with chest pain and right brachiofacial paresis. A diagnosis of paradoxical cerebral embolism associated with a spontaneous venous thromboembolism and a patent foramen ovale was made. The patient benefited from thrombolytic therapy and lifelong anticoagulation with good recovery. This case showed that percutaneous closure of a patent foramen ovale needs to be discussed individually.
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Databáze: MEDLINE
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