Simultaneous Onset of Deep Vein Thrombosis, Pulmonary Embolism, Cerebral Infarction, and Myocardial Infarction in a Patient with Patent Foramen Ovale.
S D Med
; 70(6): 266-269, 2017 Jun.
Article
em En
| MEDLINE
| ID: mdl-28813763
ABSTRACT
Paradoxical embolism is a known complication with intra-cardiac shunts. It should be considered in the differential as the pathophysiologic mechanism of simultaneous thromboembolism in the venous and systemic vasculature. We present a case of simultaneous deep venous thrombosis, pulmonary embolism and myocardial infarction in the presence of a confirmed patent foramen ovale on echocardiography. Thrombolytic therapy was administered. Subsequent concerns of intracranial hemorrhage on imaging of the brain complicated the management and added to the challenge of co-managing the clot burden in our patient. This rare presentation highlights the importance of multisystem evaluation in making the best medical decision for the patient.
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Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
/
Infarto Cerebral
/
Trombose Venosa
/
Forame Oval Patente
/
Infarto do Miocárdio
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article