A case of limb ischemia secondary to paradoxical embolism.
Paradoxical embolism is rarely considered a cause for acute limb ischemia. Although patent foramen ovales (PFOs) are often seen in young patients with stroke, clinicians may not consider evaluation for PFOs in young patients with acute peripheral ischemia. We present a 47-year-old patient presenting with lower extremity ischemia secondary to paradoxical embolism. This case highlights the importance of evaluating for paradoxical embolism in otherwise-unexplained cases of acute limb ischemia.
Miller
Seth
S
Department of General Surgery, Madigan Army Medical Center, Tacoma, WA, USA.
Causey
Marlin Wayne
MW
Schachter
David
D
Andersen
Charles A
CA
Singh
Niten
N
D000208:Acute Disease; D017130:Angioplasty; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D003131:Combined Modality Therapy; D003452:Cryosurgery; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D054092:Foramen Ovale, Patent / Q000150:complications*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D016896:Treatment Outcome