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Embolie paradoxale : mythe ou réalité ? / [Paradoxical embolism: Myth or reality?]
Aubry, P; Demian, H; Brochet, E; Juliard, J-M.
  • Aubry P; Département de cardiologie, groupe hospitalier Bichat-Claude-Bernard, Assistance publique-Hôpitaux de Paris, 46, rue Henri-Huchard, 75018 Paris, France; Service de cardiologie, centre hospitalier de Gonesse, 95500 Gonesse, France. Electronic address: pcaubry@yahoo.fr.
  • Demian H; Service de cardiologie, centre hospitalier de Gonesse, 95500 Gonesse, France.
  • Brochet E; Département de cardiologie, groupe hospitalier Bichat-Claude-Bernard, Assistance publique-Hôpitaux de Paris, 46, rue Henri-Huchard, 75018 Paris, France.
  • Juliard JM; Département de cardiologie, groupe hospitalier Bichat-Claude-Bernard, Assistance publique-Hôpitaux de Paris, 46, rue Henri-Huchard, 75018 Paris, France.
Ann Cardiol Angeiol (Paris) ; 66(6): 433-440, 2017 Dec.
Article Fr | MEDLINE | ID: mdl-29096902
Paradoxical embolism should be suspected in front of a clinical phenomenon of thromboembolism associated with an anatomical right-to-left shunt. Others potential cardiac sources of thromboembolism must be ruled out. Strokes constitute the most frequent clinical manifestations of paradoxical embolism. Right-to-left left shunts are in connection with intracardiac defects (atrial septal defect and patent foramen ovale) or pulmonary arteriovenous malformations. The probability that a discovered PFO is stroke-related can be evaluated by a score. Therapeutic approaches for secondary prevention of recurrent stroke include antithrombotic and/or percutaneous treatments. The choice strategy begins to be clearer with the recent results of randomized controlled studies.

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