Document Detail

Systemic thrombolysis using tissue plasminogen activator for a patient with paradoxic embolism: a case report.
MedLine Citation:
PMID:  17463205     Owner:  NLM     Status:  MEDLINE    
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.
Zhen Fan; Richard Roedersheimer; Joann Lohr
Related Documents :
16920305 - An autopsy case of intraoperative death due to pulmonary fat embolism--possibly caused ...
24477225 - Neonatal central venous catheter thrombosis: diagnosis, management and outcome.
2558455 - Malignant brachial artery embolism.
12006295 - Paradoxical cerebral arterial embolization of cement during intraoperative vertebroplas...
6564845 - Effects of prolonged high-frequency oscillatory ventilation in premature primates with ...
20667235 - Embolization of arteriovenous malformations prior to radiosurgery.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  41     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2007 Apr-May
Date Detail:
Created Date:  2007-04-27     Completed Date:  2007-10-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  136-9     Citation Subset:  IM    
Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Aorta, Thoracic / pathology,  surgery
Celiac Artery / pathology,  surgery
Embolism, Paradoxical / complications,  drug therapy*,  radiography,  surgery
Femoral Vein / pathology,  surgery
Fibrinolytic Agents / therapeutic use*
Heart Septal Defects, Atrial / surgery
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
Reg. No./Substance:
0/Fibrinolytic Agents; EC Plasminogen Activator

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Recanalization of concomitant iliac artery and common femoral artery occlusions using an antegrade h...
Next Document:  Feasibility of renal artery stenting before, during, and after endovascular aneurysm repair with sup...