Paradoxical peripheral embolism coincident with acute pulmonary thromboembolism |
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Authors: | Inoue Tatsuyuki Tadehara Futoshi Hinoi Toshihide Tsujiyama Shuji Matsuo Shusuke Shichijo Takeshi Ono Tetsuya Yamakido Michio |
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Affiliation: | Department of Internal Medicine, Kure Kyosai Hospital, 2-3-28 Nishichuo, Kure, Hiroshima 737-8505. |
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Abstract: | Paradoxical embolism may occur in patients with acute pulmonary thromboembolism, when patent foramen ovale (PFO) coexists with pulmonary hypertension (right-left shunt). There have been few case reports of paradoxical embolism in peripheral arteries coincident with acute pulmonary thromboembolism. Here, we describe a case of paradoxical peripheral embolism associated with PFO complicated by acute pulmonary thromboembolism. The patient had severe peripheral ischemia due to a massive thrombus and was treated successfully by peripheral thrombectomy, thrombolysis, implantation of a permanent inferior vena cava filter and anticoagulation. |
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