Impending paradoxical embolism
An impending paradoxical embolism (IPDE) is seldom observed in clinical practice. We report a case of IPDE in a 67-year-old female with severe dyspnea and hypotension, which was detected and successfully treated with emergent cardiac surgery. The optimal treatment is still controversial. We believe...
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| Published in | Journal of cardiology cases Vol. 24; no. 1; pp. 20 - 22 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Elsevier Ltd
01.07.2021
Japanese College of Cardiology |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1878-5409 1878-5409 |
| DOI | 10.1016/j.jccase.2020.11.021 |
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| Abstract | An impending paradoxical embolism (IPDE) is seldom observed in clinical practice. We report a case of IPDE in a 67-year-old female with severe dyspnea and hypotension, which was detected and successfully treated with emergent cardiac surgery. The optimal treatment is still controversial. We believe that emergent surgery always should be considered in patients with IPDE.
<Learning objective: We report a rare case of an impending paradoxical embolism in a 67-year-old female with severe dyspnea, which was successfully treated with emergent cardiac surgery. An emergent open surgery always should be considered in patients with impending paradoxical embolism.> |
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| AbstractList | An impending paradoxical embolism (IPDE) is seldom observed in clinical practice. We report a case of IPDE in a 67-year-old female with severe dyspnea and hypotension, which was detected and successfully treated with emergent cardiac surgery. The optimal treatment is still controversial. We believe that emergent surgery always should be considered in patients with IPDE. <Learning objective: We report a rare case of an impending paradoxical embolism in a 67-year-old female with severe dyspnea, which was successfully treated with emergent cardiac surgery. An emergent open surgery always should be considered in patients with impending paradoxical embolism.> An impending paradoxical embolism (IPDE) is seldom observed in clinical practice. We report a case of IPDE in a 67-year-old female with severe dyspnea and hypotension, which was detected and successfully treated with emergent cardiac surgery. The optimal treatment is still controversial. We believe that emergent surgery always should be considered in patients with IPDE. <Learning objective: We report a rare case of an impending paradoxical embolism in a 67-year-old female with severe dyspnea, which was successfully treated with emergent cardiac surgery. An emergent open surgery always should be considered in patients with impending paradoxical embolism.>.An impending paradoxical embolism (IPDE) is seldom observed in clinical practice. We report a case of IPDE in a 67-year-old female with severe dyspnea and hypotension, which was detected and successfully treated with emergent cardiac surgery. The optimal treatment is still controversial. We believe that emergent surgery always should be considered in patients with IPDE. <Learning objective: We report a rare case of an impending paradoxical embolism in a 67-year-old female with severe dyspnea, which was successfully treated with emergent cardiac surgery. An emergent open surgery always should be considered in patients with impending paradoxical embolism.>. An impending paradoxical embolism (IPDE) is seldom observed in clinical practice. We report a case of IPDE in a 67-year-old female with severe dyspnea and hypotension, which was detected and successfully treated with emergent cardiac surgery. The optimal treatment is still controversial. We believe that emergent surgery always should be considered in patients with IPDE. <Learning objective: We report a rare case of an impending paradoxical embolism in a 67-year-old female with severe dyspnea, which was successfully treated with emergent cardiac surgery. An emergent open surgery always should be considered in patients with impending paradoxical embolism.> |
| Author | Inoue, Takeshi Yamanaka, Katsuhiro Henmi, Soichiro Okada, Kenji Nakai, Hidekazu Omura, Atsushi |
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| Copyright | 2020 2020 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. 2020 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. 2020 |
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| Keywords | Impending paradoxical embolism Patent foramen ovale Pulmonary thromboembolism |
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| References | Myers, Bounameaux, Panos, Lerch, Kalangos (bib0005) 2010; 137 Ma, Song, Yang, Xia, Wu, He (bib0004) 2019; 108 Bonanni, Serafini, Vestra, Cutolo, Grolla, Presotto (bib0002) 2014; 129 Fauveau, Cohen, Bonnet, Gacem, Lardoux (bib0003) 2008; 101 Nellessen, Daniel, Matheis, Oelert, Depping, Lichtlen (bib0001) 1985; 5 Nellessen (10.1016/j.jccase.2020.11.021_bib0001) 1985; 5 Fauveau (10.1016/j.jccase.2020.11.021_bib0003) 2008; 101 Bonanni (10.1016/j.jccase.2020.11.021_bib0002) 2014; 129 Myers (10.1016/j.jccase.2020.11.021_bib0005) 2010; 137 Ma (10.1016/j.jccase.2020.11.021_bib0004) 2019; 108 |
| References_xml | – volume: 101 start-page: 637 year: 2008 end-page: 644 ident: bib0003 article-title: Surgical or medical treatment for thrombus straddling the patent foramen ovale: impending paradoxical embolism? Report of four clinical cases and literature review publication-title: Arch Cardiovasc Res – volume: 137 start-page: 164 year: 2010 end-page: 170 ident: bib0005 article-title: Impending paradoxical embolism. Systematic review of prognostic factors and treatment publication-title: Chest – volume: 129 start-page: e343 year: 2014 end-page: e344 ident: bib0002 article-title: Fluttering thrombus in patent foramen ovale with paradoxical and cerebral embolism publication-title: Circulation – volume: 5 start-page: 1002 year: 1985 end-page: 1004 ident: bib0001 article-title: Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery publication-title: J Am Coll Cardiol – volume: 108 start-page: e73 year: 2019 end-page: e75 ident: bib0004 article-title: Impending paradoxical embolism publication-title: Ann Thorac Surg – volume: 101 start-page: 637 year: 2008 ident: 10.1016/j.jccase.2020.11.021_bib0003 article-title: Surgical or medical treatment for thrombus straddling the patent foramen ovale: impending paradoxical embolism? Report of four clinical cases and literature review publication-title: Arch Cardiovasc Res doi: 10.1016/j.acvd.2008.08.011 – volume: 129 start-page: e343 year: 2014 ident: 10.1016/j.jccase.2020.11.021_bib0002 article-title: Fluttering thrombus in patent foramen ovale with paradoxical and cerebral embolism publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.113.008301 – volume: 137 start-page: 164 year: 2010 ident: 10.1016/j.jccase.2020.11.021_bib0005 article-title: Impending paradoxical embolism. Systematic review of prognostic factors and treatment publication-title: Chest doi: 10.1378/chest.09-0961 – volume: 5 start-page: 1002 year: 1985 ident: 10.1016/j.jccase.2020.11.021_bib0001 article-title: Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery publication-title: J Am Coll Cardiol doi: 10.1016/S0735-1097(85)80449-6 – volume: 108 start-page: e73 year: 2019 ident: 10.1016/j.jccase.2020.11.021_bib0004 article-title: Impending paradoxical embolism publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2019.01.011 |
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