Montessuit M, Pretre R, Bruschweiler I, Faidutti B
Department of Cardiovascular Surgery, University Hospital, Geneva, Switzerland.
Ann Vasc Surg. 1997 Mar;11(2):168-72. doi: 10.1007/s100169900029.
Paradoxic embolus is uncommon. Definite diagnosis requires demonstration of thrombus astride a patent foramen ovale (PFO) in a patient presenting cerebral or peripheral arterial embolism. With current echocardiography techniques, it is now possible to identify subjects with a PFO at risk for paradoxal embolism, however, the possibility of screening rekindles debate on prophylaxis and treatment. In the present report, we describe a case involving a woman who presented acute ischemia of the lower extremities with all the pathophysiologic features of paradoxical arterial embolism.
反常栓塞并不常见。明确诊断需要在出现脑或外周动脉栓塞的患者中证实血栓横跨未闭卵圆孔（PFO）。借助当前的超声心动图技术，现在能够识别有反常栓塞风险的PFO患者，然而，筛查的可能性再次引发了关于预防和治疗的争论。在本报告中，我们描述了一例涉及一名女性的病例，该女性出现下肢急性缺血，具有反常动脉栓塞的所有病理生理特征。
