| Surgical treatment of impending paradoxical embolization associated with pulmonary embolism in a patient with heterozygosis of factor V Leiden. | |
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MedLine Citation:
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PMID: 20639767 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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We report an unusual case of impending paradoxical embolization in a 69-year-old woman heterozygote carrier of factor V Leiden mutation. The patient presented to the emergency room with the clinical scenario of massive pulmonary embolism. Serial echocardiographic examinations revealed a large thrombus in the right atrium floating via a patent foramen ovale into the left atrium. Anticoagulation therapy was started. After 72 h, due to the unresolved thrombus, the patient underwent surgical treatment consisting of complete excision of the thrombus, closure of the foramen ovale, and pulmonary embolectomy. No in-hospital complications were noted. At 1-year follow-up, the patient is doing well on long-term anticoagulation treatment free of thromboembolic events. |
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Authors:
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Rodolfo Citro; Antonello Panza; Giuseppe Bottiglieri; Rocco Leone; Gennaro Provenza; Giovanni Gregorio; Giuseppe Di Benedetto; Eduardo Bossone |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-7-15 |
Journal Detail:
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Title: Journal of cardiovascular medicine (Hagerstown, Md.) Volume: - ISSN: 1558-2035 ISO Abbreviation: - Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-7-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101259752 Medline TA: J Cardiovasc Med (Hagerstown) Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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aU.O. UTIC-Cardiologia - Ospedale San Luca Vallo della Lucania, Vallo della Lucania, Italy bS.C. Cardiochirurgia, Dipartimento Medico-Chirurgico - Torre Cuore - Azienda Ospedaliera Universitaria 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy cPoliclinico San Donato - IRCSS - San Donato Milanese, San Donato Milanese, Milan, Italy. |
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