Saddle Pulmonary Embolus and Simultaneous Common Carotid and Subclavian Artery Emboli.
Am Surg
; 89(9): 3908-3910, 2023 Sep.
Article
em En
| MEDLINE
| ID: mdl-37171974
ABSTRACT
A patent foramen ovale (PFO) is present in 27-35% of the population. Right to left cardiac shunts predispose patients to arterial emboli in the presence of venous thromboembolisms. Paradoxical embolus should be suspected in patients with deep venous thrombosis (DVT) and arterial emboli. A 45-year-old man with hypercoagulability and history of DVT presented with a week-long history of chest pain, shortness of breath, and left arm numbness. Imaging showed a saddle pulmonary embolus (PE) and emboli involving the aortic arch, left common carotid, and left subclavian artery. The patient proceeded with an endovascular thrombectomy of the pulmonary artery, followed by open thrombectomy. Echocardiogram confirmed a right to left intra-cardiac shunt consistent with a PFO. Paradoxical emboli are rare manifestations of venous thromboemboli in patients with right to left intra-cardiac shunts. Patients should be evaluated for these to help prevent further manifestations.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
/
Embolia Paradoxal
/
Trombose Venosa
/
Forame Oval Patente
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am Surg
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos