Acute bilateral pulmonary embolism and complete occlusion of the left internal carotid artery caused by paradoxical embolus through a persistent foramen ovale in a 32-year-old woman

Gansera, Brigitte; Bauer, Michael; Gansera, Laura; Eichinger, Walter

doi:10.1016/j.jtcvs.2013.02.054

Cited by 1 publication

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References 10 publications

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“…However, in another study among 113 consecutive patients (mean age 62) with suspected cardiogenic embolic stroke and patent foramen ovale (PFO), CTPA identi ied only 4 patients with PE [91]. An analysis of 12 anecdotal reports of PE-related PDE [92][93][94][95][96][97][98][99][100][101][102][103][104][105] reveals three patterns of clinical presentation (Table 4), namely, simultaneous occurrence of typical PE symptoms(or hypoxaemia) and symptoms of PDE, occurrence of PE symptoms followed by occurrence of stroke a day or so later, and occurrence of stroke without any documentation of breathlessness. In the latter category were four patients [102][103][104][105] in whom PDE-related stroke occurred in a PE patient who had reported neither breathlessness, chest pain or cough.…”

Section: Pulmonary Embolism-related Pde (Table 4)mentioning

confidence: 99%

Atypical manifestations of pulmonary embolism

Jolobe¹

2020

Arch Vas Med

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Pulmonary embolism (PE) is an age-related disorder which is potentially fatal, but frequently misdiagnosed. However, the true prevalence of pulmonary embolism is unknown. Inaccurate estimates of PE prevalence might, in part, be attributable to underrecognition of atypical presentations of this disorder. If true prevalence is unknown, the positive predictive values of both typical and atypical symptoms and signs of PE will be unreliable. The negative predictive value of those parameters will, likewise, be unreliable. The aim of this review is to make clinicians more aware of atypical manifestations of PE, thereby increasing the likelihood of correct diagnosis and, hence, ascertainment of the true prevalence of PE. The range of atypical manifestations was explored by a literature search, using MEDLINE from using the search terms atypical, uncommon, unusual, pulmonary embolism, lung embolism, pulmonary thromboembolism.This search revealed atypical presenting features such as non pleuritic retrosternal pain, abdominal pain, atypical breathing patterns, pulmonary oedema, Dressler's syndrome, atypical radiographic manifestations, atypical electrocardiographic features, manifestations associated with oxygen saturation of 95% or more, coexistence of acute myocardial infarction and pulmonary embolism, coexistence of thoracic aortic dissection and pulmonary embolism, neurological manifestations other than stroke, paradoxical embolism, acute venous thrombosis of atypical location, and pulmonary embolism with normal D-dimer levels.Atypical manifestations of pulmonary embolism https://www.heighpubs.org/hjvsm 009 https://dx.

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Section: Pulmonary Embolism-related Pde (Table 4)mentioning

confidence: 99%

Atypical manifestations of pulmonary embolism

Jolobe¹

2020

Arch Vas Med

View full text Add to dashboard Cite

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Acute bilateral pulmonary embolism and complete occlusion of the left internal carotid artery caused by paradoxical embolus through a persistent foramen ovale in a 32-year-old woman

Cited by 1 publication

References 10 publications

Atypical manifestations of pulmonary embolism

Atypical manifestations of pulmonary embolism

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