• Mt. Sinai J. Med. · May 2005

    Case Reports

    Peripheral ischemia caused by paradoxical embolization: an underestimated problem?

    • Beate Hugl, Peter Klein-Weigel, Lydia Posch, Andreas Greiner, and Gustav Fraedrich.
    • Department of Vascular Surgery, University Hospital, Anichstrasse 35, A-6020 Innsbruck, Austria. beate.hugl@uibk.ac.at
    • Mt. Sinai J. Med. 2005 May 1; 72 (3): 200206200-6.

    AbstractAlthough a patent foramen ovale (PFO) is often found in younger patients with transient ischemic attacks or stroke, paradoxical embolization through PFO is rarely considered as a cause of acute limb ischemia. We report a single-center experience of 5 consecutive patients with limb-threatening ischemia due to paradoxical embolization within a one-year period. All patients were treated by catheter thrombectomy and long-term oral anticoagulation after surgery. The fact that the 5 embolectomies made up 10% of all embolectomies performed in our center during this time interval may indicate that the role of paradoxical embolization is still underestimated in peripheral embolic disease.

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