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Article ; Online: [Paradox embolism in a patient with pulmonary embolism and unknown patent foramen ovale].

Berkfors, Alexander Skovbæk / Wissenberg, Mads / Alpin, Mark / Pecini, Redi / Grand, Johannes

Ugeskrift for laeger

2021  Volume 183, Issue 15

Abstract: This case report describes a 64-year-old male patient, who presented with sudden onset dyspnoea. A chest CT-angiography revealed the presence of central bilateral pulmonary embolisms (PE), and he was admitted for anticoagulative treatment. Shortly after ... ...

Abstract This case report describes a 64-year-old male patient, who presented with sudden onset dyspnoea. A chest CT-angiography revealed the presence of central bilateral pulmonary embolisms (PE), and he was admitted for anticoagulative treatment. Shortly after admission, he developed discomfort and pulselessness in the right leg, and a limb CT-angiography revealed a femoral artery thrombus. PE in conjunction with acute limb ischaemia raised suspicion of a paradoxical mechanism of systemic embolism, which was confirmed by echocardiography with thrombus straddling a patent foramen ovale.
MeSH term(s) Echocardiography ; Embolism, Paradoxical/complications ; Embolism, Paradoxical/diagnostic imaging ; Foramen Ovale, Patent/complications ; Foramen Ovale, Patent/diagnostic imaging ; Humans ; Male ; Middle Aged ; Pulmonary Embolism/diagnostic imaging ; Pulmonary Embolism/drug therapy ; Pulmonary Embolism/etiology ; Thrombosis
Language Danish
Publishing date 2021-04-28
Publishing country Denmark
Document type Case Reports ; Journal Article
ZDB-ID 124102-3
ISSN 1603-6824 ; 0041-5782
ISSN (online) 1603-6824
ISSN 0041-5782
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ab Jg. 2022: Lesesaal (EG)
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