Document Detail

Atrial septal aneurysm plus a patent foramen ovale. A predisposing factor for paradoxical embolism and refractory hypoxemia during pulmonary embolism.
MedLine Citation:
PMID:  8797439     Owner:  NLM     Status:  MEDLINE    
We report three consecutive cases of patients who had refractory hypoxemia and paradoxical embolism during the course of pulmonary embolism. Transesophageal echocardiography showed an atrial septal aneurysm and a patent foramen ovale in all patients. The latter was detected by an early and massive passage of contrast from the right to the left atrium. We suggest that the presence of an atrial septal aneurysm plus a patent foramen ovale greatly enhances both magnitude of shunting and the risk of systemic embolism. The presence of an atrial septal aneurysm plus a patent foramen ovale should be considered and checked using transesophageal echocardiography in every patient with significant pulmonary embolism.
P Estagnasié; K Djedaïni; G Le Bourdellès; F Coste; D Dreyfuss
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  110     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1996-10-17     Completed Date:  1996-10-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  846-8     Citation Subset:  AIM; IM    
Sérvice de Réanimation Médicale, Hôpital Louis Mourier, Colombes, France.
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MeSH Terms
Aneurysm / complications*,  ultrasonography
Anoxia / complications*
Echocardiography, Transesophageal
Heart Diseases / complications*,  ultrasonography
Heart Septal Defects, Atrial / complications*,  ultrasonography
Pulmonary Embolism / complications*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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