Document Detail

Impending paradoxical embolism across a patent foramen ovale: case report.
MedLine Citation:
PMID:  15769715     Owner:  NLM     Status:  MEDLINE    
We describe a case of impending paradoxical embolism in a 43-year-old male patient with pulmonary embolism. Transesophageal echocardiography revealed a thromboembolus straddling a patent foramen ovale. The patient underwent emergency removal of the intracardiac clot with closure of the patent foramen ovale. A postoperative work-up for a hypercoagulable state revealed a protein-S deficiency and bilateral lower extremity deep vein thromboses. A Greenfield inferior vena cava filter was inserted, anticoagulation was performed, and warfarin treatment was continued after the patient was discharged home.
Minoo N Kavarana; Todd Boice; Laman A Gray
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  8     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2005  
Date Detail:
Created Date:  2005-03-16     Completed Date:  2006-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E47-8     Citation Subset:  IM    
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Louisville School of, Medicine, Louisville, Kentucky 40202, USA.
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MeSH Terms
Anticoagulants / therapeutic use
Echocardiography, Transesophageal
Embolism, Paradoxical / etiology*,  surgery,  therapy,  ultrasonography
Heart Septal Defects, Atrial / complications*,  surgery
Leg / blood supply
Protein S Deficiency / complications
Pulmonary Embolism / complications*
Vena Cava Filters
Venous Thrombosis / complications
Warfarin / therapeutic use
Reg. No./Substance:
0/Anticoagulants; 81-81-2/Warfarin

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

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