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[卵圆孔未闭导致的反常栓塞。1例报告]

[Paradoxical embolism due to a persistent patent foramen ovale. Report of one case].

作者信息

Fuentes Latorre Eric, Vidal Hagemeijer Bárbara

机构信息

CR cardiología, Hospital regional de Talca, Chile.

Unidad de ecocardiografía, Hospital Clinic, Barcelona, España.

出版信息

Rev Med Chil. 2018 Dec;146(10):1210-1214. doi: 10.4067/S0034-98872018001001210.

Abstract

Patent Foramen Ovale (PFO) is one of the most frequent congenital defects in adults. Its prevalence in middle-aged adults is close to 25-30% and may cause paradoxical embolic phenomena. We report a 45 years old male admitted for an ischemic stroke with an occlusion of the left terminal internal carotid artery. A thrombectomy was performed. Searching for possible sources of emboli, a patent foramen ovale was detected in an echocardiography, with an hypoechogenic examination image passing through it. Anticoagulant therapy was started and the patient had an uneventful evolution.

摘要

卵圆孔未闭(PFO)是成年人中最常见的先天性缺陷之一。在中年成年人中的患病率接近25%-30%,可能导致反常栓塞现象。我们报告一例45岁男性因左颈内动脉末端闭塞导致缺血性中风入院。进行了血栓切除术。在寻找可能的栓子来源时,经超声心动图检查发现卵圆孔未闭,并有低回声检查图像穿过该孔。开始了抗凝治疗,患者病情平稳。

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