Guo Shan, Roberts Ingram, Missri Jose
Department of Medicine, St, Vincent's Medical Center, Bridgeport, CT 06606, USA.
J Med Case Rep. 2007 Sep 25;1:104. doi: 10.1186/1752-1947-1-104.
Coexistence of pulmonary embolism and systemic arterial embolism suggest the diagnosis of paradoxical embolism which suggests the presence of intracardiac defects such as patent foramen ovale (PFO).
A 42 year old man was found to have a paradoxical embolism in the systemic arterial circulation, in the setting of pulmonary embolism and deep vein thrombosis (DVT) in the lower extremities.
Paradoxical embolism and intracardiac shunt should be immediately considered in a patient with pulmonary embolism and systemic arterial embolism. Diagnostic modalities included arteriogram and saline contrast echocardiography. Closure of intracardiac shunt is needed for patients who are at risk for recurrent embolic events.
肺栓塞与系统性动脉栓塞并存提示反常栓塞的诊断，这表明存在心内缺损，如卵圆孔未闭（PFO）。
一名42岁男性在患有肺栓塞和下肢深静脉血栓形成（DVT）的情况下，被发现系统性动脉循环中存在反常栓塞。
对于患有肺栓塞和系统性动脉栓塞的患者，应立即考虑反常栓塞和心内分流。诊断方法包括动脉造影和生理盐水对比超声心动图。对于有复发性栓塞事件风险的患者，需要封闭心内分流。
