A case of limb ischemia secondary to paradoxical embolism

Vasc Endovascular Surg. 2010 Oct;44(7):604-8. doi: 10.1177/1538574410374656. Epub 2010 Jul 30.

Abstract

Paradoxical embolism is rarely considered a cause for acute limb ischemia. Although patent foramen ovales (PFOs) are often seen in young patients with stroke, clinicians may not consider evaluation for PFOs in young patients with acute peripheral ischemia. We present a 47-year-old patient presenting with lower extremity ischemia secondary to paradoxical embolism. This case highlights the importance of evaluating for paradoxical embolism in otherwise-unexplained cases of acute limb ischemia.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Angioplasty
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / etiology*
  • Arterial Occlusive Diseases / therapy
  • Combined Modality Therapy
  • Cryosurgery
  • Embolism, Paradoxical / diagnostic imaging
  • Embolism, Paradoxical / etiology*
  • Embolism, Paradoxical / therapy
  • Foramen Ovale, Patent / complications*
  • Humans
  • Ischemia / diagnostic imaging
  • Ischemia / etiology*
  • Ischemia / therapy
  • Lower Extremity / blood supply*
  • Male
  • Middle Aged
  • Radiography
  • Thrombectomy
  • Thrombolytic Therapy
  • Treatment Outcome