Kim Robert J, Girardi Leonard N
Int J Cardiol. 2008 Sep 26;129(2):e50-2. doi: 10.1016/j.ijcard.2007.06.116. Epub 2007 Sep 14.
Paradoxical embolism occurs when a venous thrombus passes into the arterial circulation, most commonly through an intracardiac shunt. This phenomenon has been associated with catastrophic outcomes such as stroke and ischemic limb. We report the case of a 29-year old man with multiple thromboemboli including a deep venous thrombus, bilateral pulmonary emboli, and a paradoxical embolus into his left subclavian artery. We postulate the underlying predisposition and sequence of events that may have resulted in these multiple blood clots and report on his successful surgical outcome.
反常栓塞是指静脉血栓进入动脉循环，最常见的途径是通过心内分流。这种现象与中风和肢体缺血等灾难性后果有关。我们报告了一例29岁男性患者，其患有多处血栓栓塞，包括深静脉血栓、双侧肺栓塞以及一枚进入左锁骨下动脉的反常栓塞。我们推测了可能导致这些多发性血凝块的潜在易患因素和事件顺序，并报告了他成功的手术结果。
