Citarella Angelo, Boulemden Anas, Nadarajah Dharsicka, Apicella Giulia, Mahmoud Amr, Shanmuganathan Selvaraj
Trent Cardiac Centre, Nottingham, United Kingdom.
J Card Surg. 2019 Nov;34(11):1402-1404. doi: 10.1111/jocs.14224. Epub 2019 Aug 26.
Thrombus across a patent foramen ovale (PFO), also referred to as a pending paradoxical embolus is a rare condition. We report a case of a 50-year-old male taxi driver who was diagnosed with a massive saddle pulmonary embolism, leg deep venous thromboembolism, and pending paradoxical embolus through a PFO with systemic embolization. The patient had an inferior vena cava (IVC) filter inserted immediately followed by surgical thromboembolectomy and closure of PFO. He was discharged home 1 month after surgery. Surgery is the treatment of choice for preventing systemic embolization particularly cryptogenic stroke and its sequelae from pending paradoxical embolus. Preoperative IVC filter is a useful adjunct to prevent ongoing thromboembolism in the perioperative period. The case report presented at the Annual Cardiothoracic Meeting, 10 November 2017, Royal Society of Medicine, London.
穿过卵圆孔未闭（PFO）的血栓，也被称为潜在反常栓塞，是一种罕见的病症。我们报告一例50岁男性出租车司机，其被诊断为大面积鞍状肺栓塞、下肢深静脉血栓栓塞，并通过卵圆孔未闭伴有全身栓塞存在潜在反常栓塞。该患者立即植入下腔静脉（IVC）滤器，随后进行手术取栓及卵圆孔未闭封堵术。术后1个月他出院回家。手术是预防全身栓塞尤其是潜在反常栓塞导致的隐源性卒中及其后遗症的首选治疗方法。术前下腔静脉滤器是预防围手术期持续血栓栓塞的有用辅助手段。该病例报告于2017年11月10日在伦敦皇家医学学会年度心胸会议上发表。
