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Successful surgical treatment of impending paradoxical embolism with pulmonary embolism and myocardial infarction.
Liu, Yong; Yang, Zhiyun; Sun, Xinxin; Yang, Mei; Zhang, Tao; Li, Ruilin; Wei, Ying; Cao, Hao.
Afiliación
  • Liu Y; Department of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
  • Yang Z; Department of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
  • Sun X; Department of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
  • Yang M; Department of ICU, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
  • Zhang T; Department of ICU, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
  • Li R; Department of Cardiology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
  • Wei Y; Department of Ultrasound in Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
  • Cao H; Department of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China. caohao@tongji.edu.cn.
J Cardiothorac Surg ; 19(1): 137, 2024 Mar 19.
Article en En | MEDLINE | ID: mdl-38504353
ABSTRACT

BACKGROUND:

Paradoxical embolism is a rare cause of acute arterial occlusion. This phenomenon arises when embolic material travels from the venous system crosses an abnormal shunt such as patent foramen ovale, atrial septal defects, ventricular septal defects, or pulmonary arteriovenous malformations, into the arterial system. Impending paradoxical embolism refers to the presence of an entrapped thrombus in the patent foramen ovale. CASE PRESENTATION We report a case of a 68-year-old female patient who presented with an impending paradoxical embolism, alongside both concomitant pulmonary embolism and myocardial infarction with ST-segment elevation. Swiftly addressed through emergency cardiac surgery and systemic anticoagulation, the patient's condition was effectively treated.

CONCLUSIONS:

While the ideal treatment strategy for impending paradoxical embolism remains a topic of debate due to limited and inconclusive evidence, emergent open surgery should be contemplated in patients as it signifies a critical clinical emergency.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embolia Pulmonar / Embolia Paradójica / Foramen Oval Permeable / Infarto del Miocardio Límite: Aged / Female / Humans Idioma: En Revista: J Cardiothorac Surg Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embolia Pulmonar / Embolia Paradójica / Foramen Oval Permeable / Infarto del Miocardio Límite: Aged / Female / Humans Idioma: En Revista: J Cardiothorac Surg Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido