| Systemic thrombolysis using tissue plasminogen activator for a patient with paradoxic embolism: a case report. | |
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MedLine Citation:
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PMID: 17463205 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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When thrombotic material that originates from deep venous thrombosis of the lower extremities is washed out into the pulmonary vasculature, pulmonary embolization occurs. Pulmonary embolism and associated acute peripheral ischemia suggest the diagnosis of paradoxic embolism, which is most often associated with a patent foramen ovale. Therapeutic options include anticoagulation, mechanical/chemical thrombus dissolution, inferior vena cava filtration, and closure of the intracardiac defect. The diagnosis and treatment are described of an elderly female who presented with lower extremity deep venous thrombosis and massive pulmonary embolism complicated by paradoxic emboli to the left subclavian artery as well as the celiac artery. |
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Authors:
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Zhen Fan; Richard Roedersheimer; Joann Lohr |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Vascular and endovascular surgery Volume: 41 ISSN: 1538-5744 ISO Abbreviation: Vasc Endovascular Surg Publication Date: 2007 Apr-May |
Date Detail:
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Created Date: 2007-04-27 Completed Date: 2007-10-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136421 Medline TA: Vasc Endovascular Surg Country: United States |
Other Details:
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Languages: eng Pagination: 136-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA. Joy_Rusche@trihealth.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Aorta, Thoracic / pathology, surgery Celiac Artery / pathology, surgery Embolism, Paradoxical / complications, drug therapy*, radiography, surgery Female Femoral Vein / pathology, surgery Fibrinolytic Agents / therapeutic use* Heart Septal Defects, Atrial / surgery Humans Pulmonary Embolism / drug therapy*, etiology, radiography, surgery Subclavian Artery / pathology, surgery Tissue Plasminogen Activator / therapeutic use* Tomography, X-Ray Computed Ultrasonography, Doppler Vascular Surgical Procedures Venous Thrombosis / drug therapy |
| Chemical | |
Reg. No./Substance:
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0/Fibrinolytic Agents; EC 3.4.21.68/Tissue Plasminogen Activator |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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