RESUMO
A 53-year-old male patient with history of repaired hernia, who is admitted for 5 days of progressive dyspnea with diagnosis of abdominal sepsis, a computed tomography angiography was made, revealing pulmonary embolism in bilateral main pulmonary artery, and cardiac thrombectomy was performed.
Paciente masculino de 53 años de edad con historial de reparación de hernia, quien fue ingresado por presentar 5 días de disnea progresiva con diagnóstico de sepsis abdominal, se le realizó una angiografía por tomografía computada, revelando embolismo bilateral arteria pulmonar principal, se realizó una trombectomía cardíaca.
Assuntos
Embolia Paradoxal , Forame Oval Patente , Embolia Pulmonar , Trombose , Masculino , Humanos , Pessoa de Meia-Idade , Trombose/cirurgia , Choque Cardiogênico/etiologia , Embolia Paradoxal/diagnóstico , Embolia Paradoxal/cirurgia , Trombectomia/métodos , Embolia Pulmonar/complicações , Embolia Pulmonar/cirurgiaRESUMO
Abstract: Patent Foramen Ovale (PFO) is one of the most frequent congenital defects in adults. Its prevalence in middle-aged adults is close to 25-30% and may cause paradoxical embolic phenomena. We report a 45 years old male admitted for an ischemic stroke with an occlusion of the left terminal internal carotid artery. A thrombectomy was performed. Searching for possible sources of emboli, a patent foramen ovale was detected in an echocardiography, with an hypoechogenic examination image passing through it. Anticoagulant therapy was started and the patient had an uneventful evolution.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Embolia Paradoxal/etiologia , Forame Oval Patente/complicações , Ecocardiografia , Artérias Carótidas , Fatores de Risco , Resultado do Tratamento , Trombectomia/métodos , Embolia Paradoxal/cirurgia , Embolia Paradoxal/diagnóstico por imagem , Acidente Vascular Cerebral/etiologia , Forame Oval Patente/diagnóstico por imagemRESUMO
Patent Foramen Ovale (PFO) is one of the most frequent congenital defects in adults. Its prevalence in middle-aged adults is close to 25-30% and may cause paradoxical embolic phenomena. We report a 45 years old male admitted for an ischemic stroke with an occlusion of the left terminal internal carotid artery. A thrombectomy was performed. Searching for possible sources of emboli, a patent foramen ovale was detected in an echocardiography, with an hypoechogenic examination image passing through it. Anticoagulant therapy was started and the patient had an uneventful evolution.
Assuntos
Embolia Paradoxal/etiologia , Forame Oval Patente/complicações , Artérias Carótidas , Ecocardiografia , Embolia Paradoxal/diagnóstico por imagem , Embolia Paradoxal/cirurgia , Forame Oval Patente/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Acidente Vascular Cerebral/etiologia , Trombectomia/métodos , Resultado do TratamentoRESUMO
We report a 63 year-old female with a pulmonary embolism in whom echocardiography revealed the presence of right heart thrombus. A section of this thrombus was entrapped in a patent foramen oval and floating in both atria. This rare situation, named impending paradoxical embolism, prompted us to perform a surgical intervention, removing the thrombus and repairing the foramen ovale.
Assuntos
Embolia Paradoxal/diagnóstico por imagem , Forame Oval Patente/diagnóstico por imagem , Embolia Pulmonar/diagnóstico por imagem , Trombose/diagnóstico por imagem , Idoso , Ecocardiografia Transesofagiana , Embolia Paradoxal/cirurgia , Feminino , Forame Oval Patente/cirurgia , Humanos , Embolia Pulmonar/cirurgia , Trombose/cirurgiaRESUMO
We report a 63 year-old female with a pulmonary embolism in whom echocardiography revealed the presence ofríght heart thrombus. A section ofthis thrombus was entrapped in a patent foramen oval and floating in both atria. This rare situation, named impending paradoxical embolism, prompted us to perform a surgical intervention, removing the thrombus andrepairing the foramen ovale.
Assuntos
Idoso , Feminino , Humanos , Embolia Paradoxal , Forame Oval Patente , Embolia Pulmonar , Trombose , Ecocardiografia Transesofagiana , Embolia Paradoxal/cirurgia , Forame Oval Patente/cirurgia , Embolia Pulmonar/cirurgia , Trombose/cirurgiaRESUMO
Impending paradoxical embolism. An intracardiac thrombus traversing a patent foramen ovale is a very infrequent but potentially catastrophic complication of the thromboembolic disease. It is named "impending paradoxical embolism". We report the case of a 71-year-old Caucasian male warded in ten days after a prostatectomy because of bilateral pulmonary embolism. Diagnosis was confirmed by HCT scan and the patient received anticoagulation with heparin. A transesophageal ecocardiogram disclosed a thrombus traversing foramen ovale into the left atrium. Surgical embolectomy was performed, but the patient died shortly after surgery.
Assuntos
Embolia Paradoxal/diagnóstico por imagem , Comunicação Interatrial/diagnóstico por imagem , Embolia Pulmonar/diagnóstico por imagem , Idoso , Ecocardiografia Doppler , Ecocardiografia Transesofagiana , Embolectomia , Embolia Paradoxal/etiologia , Embolia Paradoxal/cirurgia , Evolução Fatal , Comunicação Interatrial/complicações , Humanos , Masculino , Embolia Pulmonar/complicaçõesRESUMO
La presencia de un trombo venoso atrapado en un defecto interauricular e insinuándose en las cavidades izquierdas configura una forma extremadamente inusual de enfermedad tromboembólica denominada embolia paradojal inminente. Presentamos el caso de un varón de 71 años, sometido 10 días antes a adenomectomía prostática, que consultó por disnea y mareos. Se le diagnosticó tromboembolismo pulmonar bilateral por tomografía axial computada helicoidal. Se lo anticoaguló con heparina sódica y se le realizó un ecocardiograma transesofágico que mostró un trombo que atravesaba el foramen oval y se alojaba en la aurícula izquierda. No presentaba signos clínicos de embolización sistémica. Se realizó la embolectomía quirúrgica y cierre del defecto auricular. El paciente falleció (AU)
An intracardiac thrombus traversing a patent foramen ovale is a very infrequent but potentially catastrophic complication of the thromboembolic disease. It is named "impending paradoxical embolism". We report the case of a 71 year old Caucasian male warded in ten days after a prostatectomy because of bilateral pulmonary embolism. Diagnosis was confirmed by HCT scan and the patient received anticoagulation with heparin. A transesophageal ecocardiogram disclosed a thrombus traversing foramen ovale into the left atrium. Surgical embolectomy was performed, but the patient died shortly after surgery (AU)
Assuntos
Humanos , Masculino , Idoso , Embolia Paradoxal/diagnóstico por imagem , Embolia Pulmonar/diagnóstico por imagem , Comunicação Interatrial/diagnóstico por imagem , Embolia Paradoxal/etiologia , Embolia Paradoxal/cirurgia , Embolia Pulmonar/complicações , Comunicação Interatrial/complicações , Ecocardiografia Transesofagiana , Ecocardiografia Doppler , Embolectomia , Evolução FatalRESUMO
La presencia de un trombo venoso atrapado en un defecto interauricular e insinuándose en las cavidades izquierdas configura una forma extremadamente inusual de enfermedad tromboembólica denominada embolia paradojal inminente. Presentamos el caso de un varón de 71 años, sometido 10 días antes a adenomectomía prostática, que consultó por disnea y mareos. Se le diagnosticó tromboembolismo pulmonar bilateral por tomografía axial computada helicoidal. Se lo anticoaguló con heparina sódica y se le realizó un ecocardiograma transesofágico que mostró un trombo que atravesaba el foramen oval y se alojaba en la aurícula izquierda. No presentaba signos clínicos de embolización sistémica. Se realizó la embolectomía quirúrgica y cierre del defecto auricular. El paciente falleció (AU)
An intracardiac thrombus traversing a patent foramen ovale is a very infrequent but potentially catastrophic complication of the thromboembolic disease. It is named "impending paradoxical embolism". We report the case of a 71 year old Caucasian male warded in ten days after a prostatectomy because of bilateral pulmonary embolism. Diagnosis was confirmed by HCT scan and the patient received anticoagulation with heparin. A transesophageal ecocardiogram disclosed a thrombus traversing foramen ovale into the left atrium. Surgical embolectomy was performed, but the patient died shortly after surgery (AU)
Assuntos
Humanos , Masculino , Idoso , Embolia Paradoxal/diagnóstico por imagem , Embolia Pulmonar/diagnóstico por imagem , Comunicação Interatrial/diagnóstico por imagem , Embolia Paradoxal/etiologia , Embolia Paradoxal/cirurgia , Embolia Pulmonar/complicações , Comunicação Interatrial/complicações , Ecocardiografia Transesofagiana , Ecocardiografia Doppler , Embolectomia , Evolução FatalRESUMO
La presencia de un trombo venoso atrapado en un defecto interauricular e insinuándose en las cavidades izquierdas configura una forma extremadamente inusual de enfermedad tromboembólica denominada embolia paradojal inminente. Presentamos el caso de un varón de 71 años, sometido 10 días antes a adenomectomía prostática, que consultó por disnea y mareos. Se le diagnosticó tromboembolismo pulmonar bilateral por tomografía axial computada helicoidal. Se lo anticoaguló con heparina sódica y se le realizó un ecocardiograma transesofágico que mostró un trombo que atravesaba el foramen oval y se alojaba en la aurícula izquierda. No presentaba signos clínicos de embolización sistémica. Se realizó la embolectomía quirúrgica y cierre del defecto auricular. El paciente falleció
An intracardiac thrombus traversing a patent foramen ovale is a very infrequent but potentially catastrophic complication of the thromboembolic disease. It is named "impending paradoxical embolism". We report the case of a 71 year old Caucasian male warded in ten days after a prostatectomy because of bilateral pulmonary embolism. Diagnosis was confirmed by HCT scan and the patient received anticoagulation with heparin. A transesophageal ecocardiogram disclosed a thrombus traversing foramen ovale into the left atrium. Surgical embolectomy was performed, but the patient died shortly after surgery