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An Unusual Case of Impending Paradoxical Embolism Through a Patent Foramen Ovale in Renal Cell Carcinoma.

作者信息

Maturi Bhanu P, Sharma Ashwini, Wool Kenneth J, Elmarzooky Zeyad, Kondapaneni Varshitha

机构信息

Internal Medicine, University of Alabama at Birmingham (UAB), Montgomery, USA.

Cardiology, Baptist Medical Center South, Montgomery, USA.

出版信息

Cureus. 2023 Feb 14;15(2):e34964. doi: 10.7759/cureus.34964. eCollection 2023 Feb.

DOI:10.7759/cureus.34964
PMID:36819953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9931375/
Abstract

Impending paradoxical embolism (IPDE) is a clinical emergency with adverse outcomes. Due to its rarity, larger research cannot be obtained to provide definitive therapy alternatives. We report a case of a tumor embolus from a renal cell carcinoma (RCC) that caused a right atrial mass, pulmonary embolus, and impending paradoxical embolus via a patent foramen ovale (PFO) and its management.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee2/9931375/ec1d1bc74bcf/cureus-0015-00000034964-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee2/9931375/a27d5c79b7f1/cureus-0015-00000034964-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee2/9931375/0f1450d11e69/cureus-0015-00000034964-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee2/9931375/ec1d1bc74bcf/cureus-0015-00000034964-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee2/9931375/a27d5c79b7f1/cureus-0015-00000034964-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee2/9931375/0f1450d11e69/cureus-0015-00000034964-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee2/9931375/ec1d1bc74bcf/cureus-0015-00000034964-i03.jpg

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An Unusual Case of Impending Paradoxical Embolism Through a Patent Foramen Ovale in Renal Cell Carcinoma.
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本文引用的文献

1
Wide-ranging clinical spectrum of paradoxical embolism.反常栓塞的广泛临床谱。
Postgrad Med J. 2022 Dec;98(1166):958-966. doi: 10.1136/postgradmedj-2020-139691. Epub 2021 May 18.
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Systematic Review of Treatment for Trapped Thrombus in Patent Foramen Ovale.卵圆孔未闭封堵术后封堵器内血栓形成治疗的系统评价
Korean Circ J. 2017 Sep;47(5):776-785. doi: 10.4070/kcj.2016.0295. Epub 2017 Sep 11.
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Paradoxical embolism.反常栓塞。
J Am Coll Cardiol. 2014 Jul 29;64(4):403-15. doi: 10.1016/j.jacc.2014.04.063.
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Impending paradoxical embolism: systematic review of prognostic factors and treatment.即将发生的矛盾栓塞:预后因素和治疗的系统评价。
Chest. 2010 Jan;137(1):164-70. doi: 10.1378/chest.09-0961. Epub 2009 Jul 10.
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Surgical or medical treatment for thrombus straddling the patent foramen ovale: impending paradoxical embolism? Report of four clinical cases and literature review.卵圆孔未闭伴骑跨血栓的手术或药物治疗:即将发生反常栓塞?4例临床病例报告及文献复习
Arch Cardiovasc Dis. 2008 Oct;101(10):637-44. doi: 10.1016/j.acvd.2008.08.011. Epub 2008 Nov 18.
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Impending paradoxical embolism. When and how to treat?即将发生的反常栓塞。何时以及如何治疗?
Ann Cardiol Angeiol (Paris). 2008 Aug;57(4):234-7. doi: 10.1016/j.ancard.2008.05.002. Epub 2008 Jun 4.
7
Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery.心房血栓导致的即将发生的反常栓塞:经食管超声心动图正确诊断及手术预防
J Am Coll Cardiol. 1985 Apr;5(4):1002-4. doi: 10.1016/s0735-1097(85)80449-6.