Miller Seth, Causey Marlin Wayne, Schachter David, Andersen Charles A, Singh Niten
Department of General Surgery, Madigan Army Medical Center, Tacoma, WA, USA.
Vasc Endovascular Surg. 2010 Oct;44(7):604-8. doi: 10.1177/1538574410374656. Epub 2010 Jul 30.
Paradoxical embolism is rarely considered a cause for acute limb ischemia. Although patent foramen ovales (PFOs) are often seen in young patients with stroke, clinicians may not consider evaluation for PFOs in young patients with acute peripheral ischemia. We present a 47-year-old patient presenting with lower extremity ischemia secondary to paradoxical embolism. This case highlights the importance of evaluating for paradoxical embolism in otherwise-unexplained cases of acute limb ischemia.
反常栓塞很少被认为是急性肢体缺血的原因。尽管卵圆孔未闭（PFO）在年轻的中风患者中很常见，但临床医生可能不会考虑对急性外周缺血的年轻患者进行PFO评估。我们报告一例47岁因反常栓塞继发下肢缺血的患者。该病例强调了在急性肢体缺血的不明原因病例中评估反常栓塞的重要性。
