Submassive pulmonary embolism and paradoxical embolic stroke treated with percutaneous rheolytic thrombectomy and closure of the patent foramen ovale.
The presence of patent foramen ovale (PFO) in patients with large pulmonary emboli (PE) is associated with an increased risk of stroke and mortality. Many patients are ineligible to receive thrombolytic therapy. We present a patient with bilateral PE and cryptogenic stroke who was treated effectively with rheolytic thrombectomy with AngioJet, PFO closure with CardioSeal device, and placement of an inferior vena cava filter.
Iskander
Ayman
A
Lahey Clinic Medical Center, Burlington, Massachusetts, USA. aymaniskander@pol.net
Nayak
Atasu
A
Chauhan
Manish S
MS
D000368:Aged; D000792:Angiography / Q000379:methods; D006328:Cardiac Catheterization; D002404:Catheterization / Q000379:methods*; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D020766:Intracranial Embolism / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017131:Thrombectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters