Scott W W, Siegelman S S, Harrington D P, White R I
Radiology. 1976 Oct;121(1):59-62. doi: 10.1148/121.1.59.
Three cases of paradoxical embolism are presented. Although most systemic emboli originate in the heart, detection of other sources is aided by venography of the lower extremities, indocyanine green-dye curve studies of the inferior vena cava, obtaining right heart pressures, oximetry, and pulmonary angiography. Forty per cent of 55 patients reviewed had repeat episodes of systemic embolism and 2 of the 3 proved cases of paradoxical embolism had repeat episodes. Prolonged anticoagulant therapy may prevent recurrence.
本文报告了三例反常栓塞病例。尽管大多数全身性栓子起源于心脏，但通过下肢静脉造影、下腔静脉吲哚菁绿染料曲线研究、获取右心压力、血氧测定和肺血管造影有助于发现其他来源。在回顾的55例患者中，40%有全身性栓塞的复发发作，在3例已证实的反常栓塞病例中，有2例有复发发作。长期抗凝治疗可能预防复发。
