Document Detail

Paradoxical embolization in an adult cystic fibrosis patient.
MedLine Citation:
PMID:  17703245     Owner:  NLM     Status:  MEDLINE    
Cystic fibrosis patients with an implantable venous access device (IVAD) and a patent foramen ovale (PFO) are at an increased risk of developing paradoxical embolism. A 33-year-old patient who had a cerebrovascular accident in the above setting is described. She had been anticoagulated because she had thrombosis of the tip of the indwelling catheter, and her PFO was closed percutaneously followed by replacement of her IVAD. She made a full neurological recovery. Echocardiography and prophylactic closure of the PFO, when present, as primary prevention for paradoxical embolism may be warranted in cystic fibrosis patients before placement of an IVAD.
Nabil M Al Lawati; Pearce Wilcox
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Canadian respiratory journal : journal of the Canadian Thoracic Society     Volume:  14     ISSN:  1198-2241     ISO Abbreviation:  Can. Respir. J.     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-08-17     Completed Date:  2007-11-05     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9433332     Medline TA:  Can Respir J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  293-4     Citation Subset:  IM    
University of British Columbia, Vancouver, Canada.
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MeSH Terms
Anticoagulants / therapeutic use
Catheterization, Central Venous
Catheters, Indwelling
Cystic Fibrosis / complications*
Embolism, Paradoxical / diagnosis*,  drug therapy,  etiology*,  surgery
Heart Catheterization / methods
Heart Septal Defects, Atrial / complications,  diagnosis*,  drug therapy,  surgery
Prosthesis Implantation / instrumentation
Stroke / etiology
Treatment Outcome
Reg. No./Substance:

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