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A Rare Presentation of Multi-Organ Embolism in a Multifactorial Hypercoagulable State: Case Report

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Resumo:Paradoxical embolism is an uncommon phenomenon, accounting for only 2% of all cases of systemic arterial embolism. This condition suggests the presence of a patent foramen ovale, present in 20% - 25% of the adult population. The authors report the case of a 63-year-old male patient with a history of lung adenocarcinoma and hereditary thrombophilia admitted to hospital with acute onset of dyspnea, diplopia, confusion and decreased motor strength of the right limbs. Cranial computed tomography scan showed acute ischemic injury in the left posterior cerebral artery and computed tomography pulmonary angiography revealed bilateral pulmonary thromboembolism. A transesophageal echocardiogram confirmed the presence of patent foramen ovale. The patient was treated with anticoagulant therapy with progressive clinical improvement. Due to a high risk of recurrent thromboembolic episodes, the percutaneous closure of patent foramen ovale was performed and anticoagulant therapy was maintained indefinitely.
Autores principais:Brysch, Eva
Outros Autores:Salgado, Sara; Santos, António Carvalheira; Bárbara, Cristina
Assunto:Foramen Ovale Patent Lung Neoplasms Paradoxical Embolism Thrombophilia Embolia Paradoxal Foramen Ovale Patente Neoplasias do Pulmão Trombofilia
Ano:2021
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:Ordem dos Médicos
Idioma:inglês
Origem:Acta Médica Portuguesa

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