A Case of Cryptogenic Stroke Associated with Patent Foramen Ovale Coexisting with Pulmonary Embolisms, Deep Vein Thromboses, and Renal Artery Infarctions

Park, Moon-Sik; Park, Jong Pil; Yun, So Hee; Lee, Jae-Un; Kim, Joong-Keun; Lee, Na-Eun; Song, Ji-Eun; Lee, Shin-Eun; S, John; Lim, Ji-Hyun; Rhew, Jay-Young

doi:10.4070/kcj.2012.42.12.853

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…Administering both carries a significant risk of critical organ 2 Case Reports in Pulmonology hemorrhages, such as cerebral hemorrhages. Several case reports in the literature reflect similar predicaments [20,21]. Ultimately, we opted for anticoagulation therapy using only rivaroxaban.…”

Section: Casementioning

confidence: 79%

Renal Embolism Associated with Foramen Ovale Coexisting Acute Pulmonary Embolism

He,

Xiao,

Chen

et al. 2023

Case Reports in Pulmonology

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We report a singular case of renal embolism in a hitherto healthy 46-year-old female. The patient initially presented with symptoms of exertional distress and chest discomfort. Following an extensive diagnostic workup, she was subsequently diagnosed with acute pulmonary embolism. On the day succeeding her admission, the patient manifested sustained abdominal discomfort. Abdominal computed tomography angiography (CTA) subsequently revealed the presence of renal artery embolisms and infarctions. Concurrently, an echocardiographic evaluation disclosed a patent foramen ovale (PFO) and pulmonary hypertension. In this specific case, we hypothesize that the embolic event traversed through the PFO, ultimately localizing in the renal artery and culminating in renal embolism.

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Section: Casementioning

confidence: 79%

Renal Embolism Associated with Foramen Ovale Coexisting Acute Pulmonary Embolism

He,

Xiao,

Chen

et al. 2023

Case Reports in Pulmonology

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“…A PubMed search using the keywords (Paradoxical embolism) (renal infarction) and (pulmonary embolism) identified only nine cases [8][9][10][11][12][13][14][15][16]. A summary of these cases is presented in Table 2.…”

Section: Discussionmentioning

confidence: 99%

Patent Foramen Ovale Complicated With Renal Infarction and Pulmonary Embolism: A Case Report With Literature Review

Iizuka¹,

Tachi²,

Ashikaga³

et al. 2023

Cureus

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A 48-year-old man visited our emergency room after experiencing sudden left back pain, diaphoresis, and nausea. The patient underwent physical and laboratory examinations. Physical examination revealed tenderness in the left costovertebral angle. Laboratory examination revealed a slight elevation in D-dimer levels. Contrast-enhanced computed tomography revealed a bilateral pulmonary embolism and left renal infarction. Back pain was resolved following anticoagulation therapy with heparin. Transesophageal echocardiography revealed a patent foramen ovale (PFO). The patient was discharged on an anticoagulant, apixaban. Identifying the cause of paradoxical embolisms, such as an atrial septal defect or PFO, in cases with an arterial embolism in a young patient with no underlying disease is important.

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“…Particularly, it was reported that the patients with PFO even might develop arterial thromboembolism with cryptogenic stroke. 3) 6) …”

Section: Discussionmentioning

confidence: 99%

Post-Operative Multiple Thrombosis Associated with Patent Foramen Ovale: Embolic Stroke, Right Atrial Thrombi, Pulmonary Embolism and Deep Vein Thrombosis

Cho¹,

Youn

Park³

et al. 2015

J Cardiovasc Ultrasound

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Patients undergoing total joint arthroplasty frequently develop post-operative complication, such as deep vein thrombosis and pulmonary thromboembolism. However, it is not common coexisting deep vein thrombosis, pulmonary thromboembolisms, right atrial thrombus and acute cerebral infarction raised by thrombus through patent foramen ovale. We reported the patient who had multiple thrombi which were accompanied with a cryptogenic ischemic stroke and associated with patent foramen ovale after operation.

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A Case of Cryptogenic Stroke Associated with Patent Foramen Ovale Coexisting with Pulmonary Embolisms, Deep Vein Thromboses, and Renal Artery Infarctions

Cited by 5 publications

References 16 publications

Renal Embolism Associated with Foramen Ovale Coexisting Acute Pulmonary Embolism

Renal Embolism Associated with Foramen Ovale Coexisting Acute Pulmonary Embolism

Patent Foramen Ovale Complicated With Renal Infarction and Pulmonary Embolism: A Case Report With Literature Review

Post-Operative Multiple Thrombosis Associated with Patent Foramen Ovale: Embolic Stroke, Right Atrial Thrombi, Pulmonary Embolism and Deep Vein Thrombosis

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