Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report

Patent foramen ovale (PFO) is usually asymptomatic; however, it could be quite dangerous for patients with right side clot in which thrombus can transmit the PFO and paradoxically emboli to systemic circulation. Here we present a patient with ankle fracture and paradoxical embolus to the brain, who...

Full description

Bibliographic Details
Main Authors: Mohammad Khani, Fariba Bayat, Atoosheh Rohani, Mehdi Pishgahi
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2018-08-01
Series:Archives of Academic Emergency Medicine
Subjects:
Online Access:https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/93
_version_ 1819226929681661952
author Mohammad Khani
Fariba Bayat
Atoosheh Rohani
Mehdi Pishgahi
author_facet Mohammad Khani
Fariba Bayat
Atoosheh Rohani
Mehdi Pishgahi
author_sort Mohammad Khani
collection DOAJ
description Patent foramen ovale (PFO) is usually asymptomatic; however, it could be quite dangerous for patients with right side clot in which thrombus can transmit the PFO and paradoxically emboli to systemic circulation. Here we present a patient with ankle fracture and paradoxical embolus to the brain, who was successfully treated with emergent thrombectomy, inferior vena cava (IVC) filter placement and anticoagulation therapy. Despite the high rate of mortality in these patients, fortunately our patient survived with surgical treatment.
first_indexed 2024-12-23T10:33:18Z
format Article
id doaj.art-6e1600e532344d6f952af86607d8e847
institution Directory Open Access Journal
issn 2645-4904
language English
last_indexed 2024-12-23T10:33:18Z
publishDate 2018-08-01
publisher Shahid Beheshti University of Medical Sciences
record_format Article
series Archives of Academic Emergency Medicine
spelling doaj.art-6e1600e532344d6f952af86607d8e8472022-12-21T17:50:22ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042018-08-016110.22037/aaem.v6i1.93Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case ReportMohammad Khani0Fariba Bayat1Atoosheh Rohani2Mehdi Pishgahi3Department of Cardiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Cardiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Cardiology, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Cardiology, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Patent foramen ovale (PFO) is usually asymptomatic; however, it could be quite dangerous for patients with right side clot in which thrombus can transmit the PFO and paradoxically emboli to systemic circulation. Here we present a patient with ankle fracture and paradoxical embolus to the brain, who was successfully treated with emergent thrombectomy, inferior vena cava (IVC) filter placement and anticoagulation therapy. Despite the high rate of mortality in these patients, fortunately our patient survived with surgical treatment.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/93Venous thrombosispulmonary embolismembolismparadoxicalpatent foramen ovalethrombolytic therapy
spellingShingle Mohammad Khani
Fariba Bayat
Atoosheh Rohani
Mehdi Pishgahi
Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report
Archives of Academic Emergency Medicine
Venous thrombosis
pulmonary embolism
embolism
paradoxical
patent foramen ovale
thrombolytic therapy
title Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report
title_full Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report
title_fullStr Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report
title_full_unstemmed Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report
title_short Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report
title_sort paradoxical embolism in a patient with patent foramen ovale a case report
topic Venous thrombosis
pulmonary embolism
embolism
paradoxical
patent foramen ovale
thrombolytic therapy
url https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/93
work_keys_str_mv AT mohammadkhani paradoxicalembolisminapatientwithpatentforamenovaleacasereport
AT faribabayat paradoxicalembolisminapatientwithpatentforamenovaleacasereport
AT atooshehrohani paradoxicalembolisminapatientwithpatentforamenovaleacasereport
AT mehdipishgahi paradoxicalembolisminapatientwithpatentforamenovaleacasereport