Paradoxical embolism: A report of 2 cases

被引：3

作者：

Geng, Jie ^{[1
]}

Tian, Hong-yan ^{[1
]}

Zhang, Yan-min ^{[2
]}

He, Sai ^{[3
]}

Ma, Qiang ^{[1
]}

Zhang, Jun-bo ^{[1
]}

Liu, Ya ^{[1
]}

Tian, Hua ^{[1
]}

Zhang, Dan ^{[1
]}

Meng, Yan ^{[1
]}

机构：

[1] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Peripheral Vasc Dis, West Yanta Rd, Xian 710061, Shaanxi, Peoples R China

[2] Northwest Womens & Childrens Hosp, Sect Pediat Cardiol, Heart Ctr, Xian, Shaanxi, Peoples R China

[3] Shaanxi Prov Tumor Hosp, Dept Breast Canc, Xian, Shaanxi, Peoples R China

来源：

MEDICINE | 2017年 / 96卷 / 26期

关键词：

atrial septal defect; deep vein thrombosis; paradoxical embolism; patent foramen ovale; pulmonary embolism;

D O I：

10.1097/MD.0000000000007332

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Rationale:Paradoxical embolism (PDE) refers to direct passage of venous thrombi into the arterial circulation through an arteriovenous shunt.Patient concerns:Case 1 presented with initial symptoms of shock and cerebral infarction. Case 2 developed middle cerebral artery occlusion during angiography.Diagnoses:2 cases were diagnosed as PDE.Interventions:They received thrombolytic therapy and anticoagulant therapy.Outcomes:The patients had recovery.Lessons:This report highlights the myriad clinical manifestations of PDE and underlines the importance of meticulous history taking and physical examination for early diagnosis.

引用

页数：4

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