Shut that door: a man with contemporaneous multisite paradoxical embolization.

Abstract

Patent foramen ovale (PFO) has been recognized as mediator of paradoxical embolism. Concurrent multisite paradoxical embolization is a quite rarely reported occurrence. We present a case of multisite paradoxical embolism (pulmonary, cerebral, upper limb) mediated by a large right-to-left shunt mediated by a PFO with associated a redundant Eustachian valve, successfully treated with PFO transcatheter closure and vena cava filter placement.

• Authors: Gianluca Rigatelli, Fabio Dell'Avvocata, Paolo Cardaioli, Massimo Giordan, Mara Bernasconi, Mariangela Palu'
• Journal: Cardiovascular revascularization medicine : including molecular interventions (Cardiovasc Revasc Med) 2009 Apr-Jun Vol. 10 Issue 2 Pg. 125-7 ISSN: 1878-0938 [Electronic] United States
• PMID: 19327676 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anticoagulants

Topics

• Anticoagulants (therapeutic use)
• Cardiac Catheterization (instrumentation)
• Cerebral Angiography
• Combined Modality Therapy
• Coronary Angiography
• Embolism, Paradoxical (etiology, pathology, therapy)
• Extremities (blood supply)
• Foramen Ovale, Patent (complications, pathology, therapy)
• Heart Valves (abnormalities, pathology)
• Humans
• Intracranial Embolism (etiology, therapy)
• Ischemia (etiology, therapy)
• Male
• Middle Aged
• Pulmonary Embolism (etiology, therapy)
• Tomography, X-Ray Computed
• Treatment Outcome
• Ultrasonography, Interventional
• Vena Cava Filters
• Venous Thrombosis (etiology, therapy)