scholarly journals Acute pulmonary embolism in a young female with inherited thrombophilic disorder and large thrombus through a patent foramen ovale

Author(s):  
Jose Pereira ◽  
Juliana Magalhes ◽  
Djalma Sousa ◽  
Carla Henriques ◽  
Sergio Borges ◽  
...  
Cor et Vasa ◽  
2011 ◽  
Vol 53 (6-7) ◽  
pp. 348-352 ◽  
Author(s):  
Martin Hutyra ◽  
David Vindiš ◽  
Daniel Šaňák ◽  
Tomáš Skála

Author(s):  
Marco Zuin ◽  
Gianluca Rigatelli

<p>Nowadays, the treatment of patent foramen ovale (PFO) after acute pulmonary embolism (PE) remains matter of speculation. Absence of both randomized trials and recommendations in current international guidelines complicate the decisions making in such patients. In the present manuscript we discuss about the reasons for which PFO should be closed after acute PE.</p>


Open Medicine ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 10-13
Author(s):  
Junko Yamaguchi ◽  
Akihiro Noda ◽  
Akira Utagawa ◽  
Atsushi Sakurai ◽  
Kosaku Kinoshita

AbstractHerein, we report a pediatric case of acute paradoxical cerebral embolism complicated by serious acute pulmonary embolism that was caused by an extremely small patent foramen ovale (PFO). The patient had no medical history suggestive of any other reason.Paradoxical cerebral embolism may occur even with an extremely small PFO because of the increased right-side pressure of the heart and a resulting right-to-left shunt from the acute pulmonary embolism. Although pediatric cases of pulmonary embolism are rare, when diagnosed, clinicians should consider the risk of a concurrent paradoxical cerebral embolism resulting from a latent PFO. The possibility of PFO should be assessed extremely carefully in pediatric critical care by checking for a thrombogenesis tendency and the existence of deep vein thrombosis in the patient.


ESC CardioMed ◽  
2018 ◽  
pp. 2756-2758
Author(s):  
Dieuwertje Ruigrok ◽  
Anton Vonk Noordegraaf

Acute right ventricular (RV) failure and impaired gas exchange (mainly hypoxaemia) can be two important issues clinicians are confronted with in patients with acute pulmonary embolism. An acute increase in RV afterload due to mechanical obstruction and vasoconstriction is the crucial factor starting a cascade with compensatory mechanisms, RV dilatation, RV ischaemia, and inflammation ultimately leading to RV dysfunction/failure. On the other hand, vascular occlusion leads to redistribution of pulmonary perfusion to regions with relative overperfusion causing profound hypoxaemia. Less commonly, shunting occurs due to atelectasis or due to opening of a patent foramen ovale, causing refractory hypoxaemia. Understanding these mechanisms is crucial in making the right treatment decisions when faced with a patient with acute pulmonary embolism and haemodynamic or respiratory instability.


2005 ◽  
Vol 103 (4) ◽  
pp. 895-897 ◽  
Author(s):  
Espeel Benoˆit ◽  
Vinciane Crispin ◽  
Bénédicte Fraselle ◽  
Brice Payen ◽  
Hugues Versailles

2021 ◽  
Vol 14 (9) ◽  
pp. e244284
Author(s):  
Mafalda Sá Pereira ◽  
Rita Homem ◽  
Tiago Judas ◽  
Francisca Delerue

Acute pulmonary embolism is one of the main causes of cardiovascular mortality. Treatment should be guided according to mortality risk stratification, but an individualised and multidisciplinary approach is often required. Concomitant persistent hypoxaemia can be present in cases of intracardiac shunt. In this report, we describe a 46-year-old woman with a history of surgery, presenting with pulmonary embolism with refractory hypoxaemia and simultaneous ischaemic stroke. Fibrinolysis was successfully performed, and the patient made a full recovery. Additional investigations identified a patent foramen ovale, which was later closed. She had no recurrent thrombotic events.


2014 ◽  
Vol 35 (16) ◽  
pp. 1032-1032
Author(s):  
Filippo Valbusa ◽  
Stefano Bonapace ◽  
Laura Lanzoni ◽  
Alessandro Tubaro ◽  
Carlo Delaini ◽  
...  

2010 ◽  
Vol 10 (5) ◽  
pp. E22-E22
Author(s):  
Mehmet Kayrak ◽  
Zeynettin Kaya ◽  
Mehmet Siddik Ulgen ◽  
Mehmet Yazici ◽  
Sukru Karaaslan ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document