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一名31岁患者的大脑反常栓塞与卵圆孔未闭及特发性静脉血栓栓塞相关。

Cerebral paradoxical embolism associated with patent foramen ovale and idiopathic venous thromboembolism in a 31-year-old patient.

作者信息

Timnou Bekouti Jean, Ravakiniaina Ranaivosoa Mialy, Adossou Akuvi Claude, Diawara Alpha, Camara Ansoumane, Rambolarimanana Manitrahasina, Lawani Pierre, Ranjatson Alain, Houeze Richard, Roynard Jean Louis

机构信息

Department of Cardiology, Dax-Côte d'Argent Hospital, Dax, France.

Department of radiology, Veterans Affairs Hospital, Houston, TX, USA.

出版信息

Oxf Med Case Reports. 2020 Jul 24;2020(7):omaa052. doi: 10.1093/omcr/omaa052. eCollection 2020 Jul.

DOI:10.1093/omcr/omaa052
PMID:32728455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7376985/
Abstract

Paradoxical embolism is the passage of venous thrombi into the arterial circulation through a pulmonary or intracardiac shunt. We report the management of a 31-year-old patient who initially presented with chest pain and right brachiofacial paresis. A diagnosis of paradoxical cerebral embolism associated with a spontaneous venous thromboembolism and a patent foramen ovale was made. The patient benefited from thrombolytic therapy and lifelong anticoagulation with good recovery. This case showed that percutaneous closure of a patent foramen ovale needs to be discussed individually.

摘要

反常栓塞是指静脉血栓通过肺或心内分流进入动脉循环。我们报告了一名31岁患者的治疗情况，该患者最初表现为胸痛和右侧臂面部轻瘫。诊断为与自发性静脉血栓栓塞和卵圆孔未闭相关的反常脑栓塞。患者受益于溶栓治疗和终身抗凝，恢复良好。该病例表明，卵圆孔未闭的经皮封堵需要个体化讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75d/7376985/18eb550c384b/omaa052f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75d/7376985/c2d143add33a/omaa052f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75d/7376985/24d1229b031b/omaa052f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75d/7376985/18eb550c384b/omaa052f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75d/7376985/c2d143add33a/omaa052f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75d/7376985/24d1229b031b/omaa052f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75d/7376985/18eb550c384b/omaa052f4.jpg

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