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http://dx.doi.org/10.4070/kcj.2012.42.12.853

A Case of Cryptogenic Stroke Associated with Patent Foramen Ovale Coexisting with Pulmonary Embolisms, Deep Vein Thromboses, and Renal Artery Infarctions  

Park, Moon-Sik (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Park, Jong-Pil (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Yun, So-Hee (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Lee, Jae-Un (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Kim, Joong-Keun (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Lee, Na-Eun (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Song, Ji-Eun (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Lee, Shin-Eun (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
John, Sung-Hee (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Lim, Ji-Hyun (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Rhew, Jay-Young (Division of Cardiology, Department of Internal Medicine, Presbyterian Medical Center)
Publication Information
Korean Circulation Journal / v.42, no.12, 2012 , pp. 853-856 More about this Journal
Abstract
A paradoxical embolism is defined as a systemic arterial embolism requiring the passage of a venous thrombus into the arterial circulatory system through a right-to-left shunt, and is commonly related to patent foramen ovale (PFO). However, coexisting pulmonary embolisms, deep vein thromboses (DVT), and multipe systemic arterial embolisms, associated with PFO, are rare. Here, we report a patient who had a cryptogenic ischemic stroke, associated with PFO, which is complicated with a massive pulmonary thromboembolism, DVT, and renal infarctions, and subsequently, the patient was treated using a thrombolytic therapy.
Keywords
Paradoxical embolism; Stroke; Patent foramen ovale; Pulmonary thromboembolism; Kidney disease;
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