Surgical embolectomy for paradoxical cerebral embolism with massive pulmonary embolism.
Aged
Brain Stem
/ diagnostic imaging
Echocardiography
Embolectomy
Facial Paralysis
Female
Humans
Intracranial Embolism
/ diagnostic imaging
Magnetic Resonance Imaging
Occipital Lobe
/ diagnostic imaging
Postoperative Period
Pulmonary Embolism
/ diagnostic imaging
Radiography, Thoracic
Tomography, X-Ray Computed
Cerebral embolism
Paradoxical embolism
Pulmonary embolectomy
Pulmonary embolism
Venous thromboembolism
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
20
12
2018
accepted:
16
02
2019
pubmed:
8
4
2019
medline:
6
10
2020
entrez:
8
4
2019
Statut:
ppublish
Résumé
The patient was a 68-year-old woman with a history of multiple cerebral emboli. The patient presented with dysarthria, dysphagia, and left facial paralysis. Emergent MRI demonstrated multiple emboli in the brain stem and left occipital lobe. Echocardiography and chest CT demonstrated floating emboli entrapped in the foramen ovale and pulmonary emboli in both main pulmonary arteries. Emergent pulmonary embolectomy and extraction of the emboli on the foramen ovale were successfully performed without neurological exacerbation.
Identifiants
pubmed: 30955168
doi: 10.1007/s11748-019-01087-6
pii: 10.1007/s11748-019-01087-6
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
385-388Références
Circ J. 2018 Jul 25;82(8):2184-2190
pubmed: 29952349
J Emerg Med. 2013 Feb;44(2):e199-205
pubmed: 23137960
Arch Cardiovasc Dis. 2008 Oct;101(10):637-44
pubmed: 19056070
Circulation. 2012 Feb 14;125(6):803-12
pubmed: 22238228
Chest. 2010 Jan;137(1):164-70
pubmed: 19592472
Chest. 2002 Mar;121(3):806-14
pubmed: 11888964
J Am Coll Cardiol. 2003 Jun 18;41(12):2245-51
pubmed: 12821255
Stroke. 2009 Dec;40(12):3758-62
pubmed: 19797184
Thorax. 2014 Feb;69(2):174-80
pubmed: 24343784