Surgical embolectomy for paradoxical cerebral embolism with massive pulmonary embolism.
Kaoru HattoriKazuyuki DaitokuSatoshi TaniguchiIkuo FukudaPublished in: General thoracic and cardiovascular surgery (2019)
The patient was a 68-year-old woman with a history of multiple cerebral emboli. The patient presented with dysarthria, dysphagia, and left facial paralysis. Emergent MRI demonstrated multiple emboli in the brain stem and left occipital lobe. Echocardiography and chest CT demonstrated floating emboli entrapped in the foramen ovale and pulmonary emboli in both main pulmonary arteries. Emergent pulmonary embolectomy and extraction of the emboli on the foramen ovale were successfully performed without neurological exacerbation.
Keyphrases
- pulmonary embolism
- pulmonary hypertension
- inferior vena cava
- cerebral ischemia
- computed tomography
- subarachnoid hemorrhage
- contrast enhanced
- case report
- magnetic resonance imaging
- chronic obstructive pulmonary disease
- white matter
- brain injury
- heart failure
- intensive care unit
- positron emission tomography
- blood brain barrier
- cerebral blood flow