Pulmonary Embolism and Concomitant Paradoxical Embolism. A Case Report

Abad‐Arranz, María; Jara‐Palomares, Luis; Martos-Maine, José L.; Carrasco‐Hernández, Laura; Ortega-Ruiz, Francisco

doi:10.1016/j.arbr.2014.02.007

Cited by 4 publications

(1 citation statement)

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“…Paradoxical embolism is a rare cause of arterial embolism, involving the passage of thrombi from the venous circulation into the systemic arterial circulation through a right to left cardiac shunt 1 2…”

Section: Introductionmentioning

confidence: 99%

Systemic and venous thromboembolism: think about paradoxical embolism

et al. 2015

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Patent foramen ovale (PFO) is one of the most important causes of paradoxical embolism; it is found in about 25-30% of the population. In most patients, it is asymptomatic and diagnosis is usually made during routine echocardiography. In a small proportion of patients, PFO is diagnosed after paradoxical embolism is suspected. We present a case of a middle-aged smoker who was admitted with lower limb deep vein thrombosis and pulmonary embolism, who developed acute upper limb ischaemia during his inpatient stay. Since doctors might dismiss such cases as routine, this report highlights the importance of detailed history taking and examination in patients with venous thromboembolism. Paradoxical embolism should always be considered as a possible diagnosis when managing patients with concomitant venous and arterial embolism.

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Section: Introductionmentioning

confidence: 99%