Paradoxical embolism - pulmonary thromboembolism and cerebral ischemia due to patent oval foramen, case report
30 to 40% of cerebrovascular diseases are of unknown or cryptogenic origin; they may be related to patent foramen ovale (PFO) with a prevalence of 12 to 30%. We report the case of a 62 year old woman who underwent surgery for a thyroid tumor. In the postoperative period she presented dyspnea, hypoxe...
| Autores: | , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2016 |
| País: | Perú |
| Institución: | Universidad Nacional Mayor de San Marcos |
| Repositorio: | Revistas - Universidad Nacional Mayor de San Marcos |
| Idioma: | español |
| OAI Identifier: | oai:revistasinvestigacion.unmsm.edu.pe:article/12661 |
| Acceso en línea: | https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/12661 |
| Access Level: | acceso abierto |
| Palabra clave: | Paradoxical Embolism Cerebral Ischemia Foramen Ovale. Embolismo Paradojal Isquemia Cerebral Foramen Oval. |
| Sumario: | 30 to 40% of cerebrovascular diseases are of unknown or cryptogenic origin; they may be related to patent foramen ovale (PFO) with a prevalence of 12 to 30%. We report the case of a 62 year old woman who underwent surgery for a thyroid tumor. In the postoperative period she presented dyspnea, hypoxemia, impaired consciousness and expression aphasia. Transthoracic echocardiography showed dilatation of right chambers, and transesophageal echocardiography revealed a patent foramen ovale (PFO) with the presence of echoes compatible with clots bordering this defect; the brain scan revealed a stroke in the left hemisphere. The presence of clots and PFO intraoperatively confirmed the development of pulmonary embolism and paradoxical embolism. |
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