Document Detail

Massive pulmonary embolism and acute limb ischaemia in a patient of hereditary spherocytosis and patent foramen ovale.
MedLine Citation:
PMID:  20619736     Owner:  NLM     Status:  In-Process    
Paradoxical embolism accounts for 2% of patients who present with acute arterial embolism of extremities. We report a case of a 41 year-old male with hereditary spherocytosis who presented to the emergency department with acute limb ischaemia and pulmonary embolism. On further evaluation, he was found to have patent foramen ovale (PFO) and deep vein thrombosis (DVT), leading to paradoxical embolism. The purpose of this report is to emphasise that in a patient presenting with acute limb ischaemia without an obvious systemic arterial embolic source, an evaluation for a right-to-left shunting lesion, especially PFO, should be performed.
S K Agarwal; A S Binbrek; James A Thompson; Safia A P Siddiqui
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Publication Detail:
Type:  Journal Article     Date:  2010-07-08
Journal Detail:
Title:  Heart, lung & circulation     Volume:  19     ISSN:  1444-2892     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  742-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier B.V. All rights reserved.
Rashid Hospital, PO Box 4545, Dubai, United Arab Emirates.
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