[Chest trouble and hemiparesis. A paradoxical emergency?]

Anasthesiol Intensivmed Notfallmed Schmerzther. 2011 Jul;46(7-8):486-90. doi: 10.1055/s-0031-1284467. Epub 2011 Aug 3.
[Article in German]

Abstract

The case of a young female patient with progressive chest trouble and dyspnea is reported. After development of a massive cerebral infarction, thrombolysis and afterwards decompressive craniectomy had to be performed. A patent foramen ovale (PFO) could be detected by transesophageal contrast-echocardiography accountable for a paradox embolism in existence with a deep vein thrombosis. The patient survived this situation but sustained persistent hemiparesis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use
  • Chest Pain / complications
  • Chest Pain / diagnosis
  • Chest Pain / therapy*
  • Echocardiography, Transesophageal
  • Electrocardiography
  • Embolism, Paradoxical / complications
  • Embolism, Paradoxical / rehabilitation
  • Embolism, Paradoxical / therapy*
  • Female
  • Foramen Ovale, Patent / complications
  • Foramen Ovale, Patent / diagnostic imaging
  • Foramen Ovale, Patent / therapy
  • Humans
  • Paresis / complications
  • Paresis / rehabilitation
  • Paresis / therapy*
  • Pulmonary Embolism / etiology
  • Pulmonary Embolism / therapy
  • Radiography, Thoracic
  • Thrombolytic Therapy
  • Tomography, X-Ray Computed

Substances

  • Anticoagulants