scholarly journals Coincidence of deep venous thrombosis, pulmonary embolism and multiple paradoxical embolisms in a patient with patent foramen ovale

Cor et Vasa ◽  
2011 ◽  
Vol 53 (11) ◽  
pp. 654-657 ◽  
Author(s):  
Leona Pávková ◽  
Pavel Jelínek ◽  
Ladislav Pešl ◽  
František Toušek
Keyword(s):  
Pulmonary Embolism ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Patent Foramen Ovale ◽  
Foramen Ovale

scholarly journals Cerebral hemorrhagic infarction as the initial manifestation of deep venous thrombosis in a child with patent foramen ovale

2018 ◽  
Vol 2018 (2) ◽  
Author(s):  
Dimitrios Panagopoulos ◽  
Sofia Loukopoulou ◽  
Evagelos Karanasios ◽  
Gerorgia Grigoriadou ◽  
Nikolaos Eleftherakis
Keyword(s):  
Ischemic Stroke ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Patent Foramen Ovale ◽  
Anticoagulation Therapy ◽  
Unknown Etiology ◽  
Foramen Ovale ◽  
Arterial Ischemic Stroke ◽  
Radiological Investigation ◽  
Ultrasound Study

Arterial ischemic stroke (AIS), with an estimated incidence of 1.1–4.3 per 100,000, is an important cause of morbidity and mortality in children and the risk of recurrence is high. We present the case of an 11-year-old child who presented with a symptomatology of acute ischemic stroke of unknown etiology. The radiological investigation did not reveal any underlying brain abnormality that could cause the event. The diagnostic work up included an echocardiogram, which revealed a thrombus in the right atrium, in conjunction with a patent foramen ovale. The patient was initiated immediately on anticoagulation therapy with low molecular weight heparin and warfarin, but two days later she suffered pulmonary emboli, diagnosed with spiral thorax computed tomography (CT) scan. An ultrasound study of the vessels of the lower extremities revealed deep venous thrombosis (DVT), which was considered to be the underlying causative mechanism.

Abstract W MP64: Evaluation of Deep Venous Thrombosis in Cryptogenic Stroke and Patent Foramen Ovale

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Ava L Liberman ◽  
Vistasp Daruwalla ◽  
Deborah Bergman ◽  
Richard A Bernstein ◽  
Yvonne Curran ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Patent Foramen Ovale ◽  
Cryptogenic Stroke ◽  
Foramen Ovale ◽  
Chi Square ◽  
Stroke Subtypes ◽  
Contrast Enhanced ◽  
Paradoxical Embolus ◽  
Stroke Mechanism

Background and Purpose: In cryptogenic stroke (CS), paradoxical embolus has been suggested as a stroke mechanism. A prior study found a significant rate of pelvic deep venous thrombosis (DVT) using magnetic resonance venography (MRV). We sought to evaluate the yield of diagnostic tests for lower extremity (LE) and pelvic DVT in stroke patients with patent foramen ovale (PFO) and in the subset with CS. Methods: A single center retrospective study was performed to identify consecutive ischemic stroke or TIA patients with PFO who underwent contrast-enhanced 3D pelvic MRV imaging (Ablavar, Lantheus Medical Imaging, N. Billerica, MA) between 2009 and 2013 as part of an inpatient diagnostic evaluation. Results of pelvic MRV, LE Doppler ultrasound (US) as well as clinical data were abstracted. Ischemic subtype was retrospectively assigned using the Causative Classification System (CCS). Patients with possible cardio-aortic embolism and undetermined cause by CCS were classified as CS. We estimated point estimates and 95% confidence intervals (CI) for DVT prevalence among stroke subtypes using the Wald method and compared these using Chi-square tests. Results: Of 130 patients who met study criteria, mean age was 56 +/- 17 years and median time from admission to MRV was 2 days (IQR 1-3). Overall DVT prevalence was 7.7% (95% CI, 4.1 to 13.7); the prevalence of pelvic DVT was 1.6% (95% CI, 0.07 to 5.8) and that of LE DVT was 7.2% (95% CI, 3.7 to 13.3). Of the patients with pelvic DVT (n=2), one patient also had a LE DVT by US. When MRV or US was obtained within 72 hours following admission, the prevalence of pelvic DVT was 2.1% (95% CI, 0.12 to 7.7) and that of LE DVT was 7.8% (95% CI, 3.8 to 14.8). Comparing patients with CS (n=97) to other subtypes (n=33), there was no difference in the prevalence of pelvic DVT (2.1% vs. 0%, P=1), LE DVT (6.3% vs. 10.3%, P=0.43) or any DVT (7.2% vs. 9.1%, P=0.71). Conclusion: Patients with CS and PFO have similar prevalence of DVTs compared to other stroke subtypes. The majority of detected DVTs were in LE veins rather than pelvic veins. Only a single patient with a pelvic DVT did not have a coexistent LE DVT. Our results suggest that the utility of pelvic MRV may be much lower than previously reported.

Paradoxical cerebral embolism with patent foramen ovale and deep venous thrombosis caused by a massive myoma uteri

2013 ◽  
Vol 115 (6) ◽  
pp. 760-761 ◽  
Author(s):  
Shuta Toru ◽  
Toyonari Murata ◽  
Maya Ohara ◽  
Taro Ishiguro ◽  
Takayoshi Kobayashi
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Patent Foramen Ovale ◽  
Cerebral Embolism ◽  
Foramen Ovale ◽  
Myoma Uteri

Cranial Thromboembolism Secondary to Patent Foramen Ovale and Deep Venous Thrombosis after Cesarean Section

2008 ◽  
Vol 65 (4) ◽  
pp. 258-261 ◽  
Author(s):  
Harika Bodur ◽  
Eray Caliskan ◽  
Yonca Anik ◽  
Yigit Cakiroglu ◽  
Aydin Corakci
Keyword(s):  
Cesarean Section ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Patent Foramen Ovale ◽  
Foramen Ovale

Deep Venous Thrombosis Before Patent Foramen Ovale Closure

2006 ◽  
Vol 119 (1) ◽  
pp. 97-98 ◽  
Author(s):  
Gianluca Rigatelli ◽  
Loris Roncon ◽  
Gabriele Braggion ◽  
Massimo Giordan ◽  
Paolo Cardaioli ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Patent Foramen Ovale ◽  
Foramen Ovale
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