Bonvini R F, Robert-Ebadi H, Fontana P, Fassa A, Myers P, Licker M, Boehlen F, Righini M
Angiology and Hemostasis Division, University Hospital, Geneva, Switzerland.
Ann Cardiol Angeiol (Paris). 2008 Aug;57(4):234-7. doi: 10.1016/j.ancard.2008.05.002. Epub 2008 Jun 4.
Impending paradoxical embolism (IPDE) is the presence of an entrapped thrombus through the patent foramen ovale (PFO). Usually IPDE are diagnosed by echocardiography or thoracic CT-scan performed during the evaluation of patient presenting with a suspicion of pulmonary embolism (PE). We report the case of a 73-year-old patient presenting with a very large IPDE successfully treated with cardiac surgery and we focus our discussion on the treatment modalities of this rare entity (anticoagulation alone, fibrinolytic regimens, cardiac surgery, percutaneous thrombectomy) and on PFO management after IPDE.
濒发性矛盾栓塞（IPDE）是指通过卵圆孔未闭（PFO）存在被困血栓。通常，IPDE是在对疑似肺栓塞（PE）患者进行评估时通过超声心动图或胸部CT扫描诊断出来的。我们报告了一例73岁的患者，患有非常大的IPDE，通过心脏手术成功治疗，我们将讨论重点放在这种罕见疾病的治疗方式（单独抗凝、溶栓方案、心脏手术、经皮血栓切除术）以及IPDE后卵圆孔未闭的处理上。
