• Ann Vasc Surg · Mar 1997

    Case Reports

    Screening for patent foramen ovale and prevention of paradoxical embolus.

    • M Montessuit, R Pretre, I Bruschweiler, and B Faidutti.
    • Department of Cardiovascular Surgery, University Hospital, Geneva, Switzerland.
    • Ann Vasc Surg. 1997 Mar 1; 11 (2): 168-72.

    AbstractParadoxic embolus is uncommon. Definite diagnosis requires demonstration of thrombus astride a patent foramen ovale (PFO) in a patient presenting cerebral or peripheral arterial embolism. With current echocardiography techniques, it is now possible to identify subjects with a PFO at risk for paradoxal embolism, however, the possibility of screening rekindles debate on prophylaxis and treatment. In the present report, we describe a case involving a woman who presented acute ischemia of the lower extremities with all the pathophysiologic features of paradoxical arterial embolism.

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