title: Paradoxical peripheral embolism coincident with acute pulmonary thromboembolism.
abstract: Paradoxical embolism may occur in patients with acute pulmonary thromboembolism, when patent foramen ovale (PFO) coexists with pulmonary hypertension (right-left shunt). There have been few case reports of paradoxical embolism in peripheral arteries coincident with acute pulmonary thromboembolism. Here, we describe a case of paradoxical peripheral embolism associated with PFO complicated by acute pulmonary thromboembolism. The patient had severe peripheral ischemia due to a massive thrombus and was treated successfully by peripheral thrombectomy, thrombolysis, implantation of a permanent inferior vena cava filter and anticoagulation.
authors.affiliation: Department of Internal Medicine, Kure Kyosai Hospital, 2-3-28 Nishichuo, Kure, Hiroshima 737-8505.
authors.forename: Tatsuyuki
authors.initials: T
authors.lastname: Inoue
authors.forename: Futoshi
authors.initials: F
authors.lastname: Tadehara
authors.forename: Toshihide
authors.initials: T
authors.lastname: Hinoi
authors.forename: Shuji
authors.initials: S
authors.lastname: Tsujiyama
authors.forename: Shusuke
authors.initials: S
authors.lastname: Matsuo
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shichijo
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ono
authors.forename: Michio
authors.initials: M
authors.lastname: Yamakido
mesh_terms: D000208:Acute Disease; D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D019320:Embolism, Paradoxical / Q000209:etiology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006801:Humans; D011655:Pulmonary Embolism / Q000209:etiology* / Q000628:therapy; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D016306:Vena Cava Filters