Document Detail

Successful innominate thromboembolectomy of a paradoxic embolus.
MedLine Citation:
PMID:  9786276     Owner:  NLM     Status:  MEDLINE    
A 54 year-old man had symptoms of acute right hemispheric cerebral ischemia. He was initially considered for participation in a trial of early thrombolysis in stroke, but an innominate artery embolus was found with no apparent arterial source. The embolus was removed by means of a combined brachial and carotid bifurcation approach to protect the cerebral vasculature from embolic fragmentation during extraction. Further investigation revealed deep venous thrombosis, evidence of pulmonary emboli, and a patent foramen ovale, supporting a diagnosis of paradoxic embolus. Additional treatment included anticoagulation and placement of an inferior vena caval filter. The unusual condition of paradoxic embolus is reviewed, and the management of this patient is discussed.
R G Turnbull; V T Tsang; P A Teal; A J Salvian
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  28     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1998-11-05     Completed Date:  1998-11-05     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  742-5     Citation Subset:  IM    
Department of Surgery, University of British Columbia, Vancouver General Hospital, Canada.
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MeSH Terms
Brachiocephalic Trunk* / radiography
Embolectomy* / methods
Embolism, Paradoxical / radiography,  surgery*
Intracranial Embolism and Thrombosis / complications,  radiography
Leg / blood supply
Middle Aged
Thrombosis / complications

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