title: Paradoxical embolism and pulmonary embolism in a patient with patent foramen ovale: a case report.
abstract: Paradoxical embolism may occur in patients with acute pulmonary thromboembolism, when a patent foramen ovale(PFO) coexists with a right to left shunt associated to pulmonary hypertension. We presented the case of a 83 year old woman with paradoxical embolism to both legs, in the setting of pulmonary embolism. She was successfully treated with peripheral thrombectomy and anticoagulation. Patent foramen ovale closure wasn't performed because of its small size and right to left shunt absence after clinical stability.
authors: Serviço de Angiologia e Cirurgia Vascular do Centro Hospitalar de S. João, Porto, Portugal.
authors: Ana
authors: A
authors: Ferreira
authors: Alfredo
authors: A
authors: Cerqueira
authors: Sérgio
authors: S
authors: Sampaio
authors: R
authors: R
authors: De Albuquerque
authors: José
authors: J
authors: Teixeira
mesh_terms: D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use; D019320:Embolism, Paradoxical / Q000473:pathology / Q000628:therapy*; D005260:Female; D054092:Foramen Ovale, Patent / Q000473:pathology / Q000628:therapy*; D006801:Humans; D011655:Pulmonary Embolism / Q000473:pathology / Q000628:therapy*; D017131:Thrombectomy / Q000379:methods
chemical_list: D000925:Anticoagulants