Cardiovascular Revascularization Medicine
Volume 10, Issue 2 , Pages 125-127, April 2009

Shut that door: a man with contemporaneous multisite paradoxical embolization

  • Gianluca Rigatelli

      Affiliations

    • Cardiovascular Diagnosis and Endoluminal Interventions, Rovigo General Hospital, Rovigo, Italy
    • Corresponding Author InformationCorresponding author. Via Mozart 9, 37048 Legnago, Verona, Italy. Tel.: +39 03471912016; fax: +39 044220164.
    • ,
  • Fabio Dell'Avvocata

      Affiliations

    • Cardiovascular Diagnosis and Endoluminal Interventions, Rovigo General Hospital, Rovigo, Italy
    • ,
  • Paolo Cardaioli

      Affiliations

    • Cardiovascular Diagnosis and Endoluminal Interventions, Rovigo General Hospital, Rovigo, Italy
    • ,
  • Massimo Giordan

      Affiliations

    • Department of Emergency-Urgency, Intensive Care Unit, Rovigo General Hospital, Rovigo, Italy
    • ,
  • Mara Bernasconi

      Affiliations

    • Department of Emergency-Urgency, Intensive Care Unit, Rovigo General Hospital, Rovigo, Italy
    • ,
  • Mariangela Palu'

      Affiliations

    • Department of Emergency-Urgency, Intensive Care Unit, Rovigo General Hospital, Rovigo, Italy

Received 12 November 2007; received in revised form 14 December 2007; accepted 18 December 2007.

Abstract 

Patent foramen ovale (PFO) has been recognized as mediator of paradoxical embolism. Concurrent multisite paradoxical embolization is a quite rarely reported occurrence. We present a case of multisite paradoxical embolism (pulmonary, cerebral, upper limb) mediated by a large right-to-left shunt mediated by a PFO with associated a redundant Eustachian valve, successfully treated with PFO transcatheter closure and vena cava filter placement.

Keywords: Patent foramen ovale, Stroke, Pulmonary embolism, peripheral ischemia

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PII: S1553-8389(07)00373-9

doi:10.1016/j.carrev.2007.12.004

Cardiovascular Revascularization Medicine
Volume 10, Issue 2 , Pages 125-127, April 2009

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