Bedeir Kareem
Department of Surgery, Sinai Hospital of Baltimore, Baltimore, Maryland.
J Stroke Cerebrovasc Dis. 2015 Jul;24(7):e173-5. doi: 10.1016/j.jstrokecerebrovasdis.2015.03.027. Epub 2015 Apr 18.
Paradoxical embolism is an uncertain entity triggering significant debate. A thrombus in transit across a patent foramen ovale is a rarity, a potential catastrophe with nonuniform management recommendations, and theoretically the objective proof that paradoxical embolism is real. We present a case in a postoperative setting, with a thrombus in transit across a patent foramen ovale. Pulmonary embolization was clinically silent and diagnosed incidentally, and systemic embolization was isolated but extensive to the subclavian artery. The case stimulates many unanswered questions and possible scenarios.
反常栓塞是一个引发重大争议的不确定实体。经未闭卵圆孔移动的血栓很罕见，是一种潜在的灾难，管理建议并不统一，从理论上讲，它是反常栓塞确实存在的客观证据。我们报告一例术后病例，其中有一个血栓经未闭卵圆孔移动。肺栓塞在临床上未表现出症状，是偶然诊断出来的，而全身栓塞是孤立的，但累及范围广泛，延伸至锁骨下动脉。该病例引发了许多未解答的问题和可能的情况。
