| Autor: |
McKinney, William B., O'Hara, Walter, Sreeram, Kam, Hudson, John A., Solis, Maurice |
| Zdroj: |
Journal of Vascular Surgery; April 2001, Vol. 33 Issue: 4 p880-882, 3p |
| Abstrakt: |
Paradoxical embolism is a rare cause of ischemic stroke. We report the case of a 67-year-old man who had a saddle embolus to the carotid bifurcation successfully treated with emergency embolectomy. Transesophageal echocardiogram revealed a large patent foramen ovale and an easily demonstrable right-to-left shunt. Subsequent investigations revealed proximal deep venous thrombosis in the left femoral and popliteal veins and multiple pulmonary emboli. Long-term anticoagulation was instituted for the diagnosis of paradoxical embolism. The patient's recovery was uneventful, and he remained neurologically intact. A literature review emphasizes the role of transesophageal echocardiography and suggests that paradoxical embolism may be a more common cause of stroke than previously thought. (J Vasc Surg 2001;33:880-2.) |
| Databáze: |
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