SAGE Journals Online
Advertisement
Sign In to gain access to subscriptions and/or personal tools.

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Advertisement

Sign In to gain access to subscriptions and/or personal tools.
Vascular and Endovascular Surgery
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Fan, Z.
Right arrow Articles by Lohr, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fan, Z.
Right arrow Articles by Lohr, J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Systemic Thrombolysis Using Tissue Plasminogen Activator for a Patient with Paradoxic Embolism: A Case Report

Zhen Fan, MD

Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio, Joy_Rusche{at}trihealth.com

Richard Roedersheimer, MD

Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio

Joann Lohr, MD

Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio

When thrombotic material that originates from deep venous thrombosis of the lower extremities is washed out into the pulmonary vasculature, pulmonary embolization occurs. Pulmonary embolism and associated acute peripheral ischemia suggest the diagnosis of paradoxic embolism, which is most often associated with a patent foramen ovale. Therapeutic options include anticoagulation, mechanical/chemical thrombus dissolution, inferior vena cava filtration, and closure of the intracardiac defect. The diagnosis and treatment are described of an elderly female who presented with lower extremity deep venous thrombosis and massive pulmonary embolism complicated by paradoxic emboli to the left subclavian artery as well as the celiac artery.

Key Words: deep venous thrombosis • pulmonary embolism • patent foramen ovale • anticoagulation therapy

Vascular and Endovascular Surgery, Vol. 41, No. 2, 136-139 (2007)
DOI: 10.1177/1538574406296212
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 ICVTSHome page
M. Ruiz-Bailen, J. A. Ramos-Cuadra, J. Machado-Casas, and L. Rucabado-Aguilar
Successful administration of alteplase in a venous thromboembolism crossing through a patent foramen ovale
Interactive CardioVascular and Thoracic Surgery, October 1, 2009; 9(4): 712 - 713.
[Abstract] [Full Text] [PDF]


Advertisement