PMID- 34729199
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211105
IS  - 2053-8855 (Print)
IS  - 2053-8855 (Electronic)
IS  - 2053-8855 (Linking)
VI  - 2021
IP  - 10
DP  - 2021 Oct
TI  - Concomitant acute pulmonary embolism, myocardial infarction and ischemic stroke 
      due to paradoxical embolism from a patent foramen ovale: a case report.
PG  - omab101
LID - 10.1093/omcr/omab101 [doi]
LID - omab101
AB  - A patent foramen ovale (PFO) is a cause of paradoxical embolism. Although most 
      patients with a PFO are asymptomatic, various clinical manifestations may be 
      associated with PFO. The most important is a cryptogenic stroke. Concomitant 
      acute pulmonary embolism (APE), acute myocardial infarction (AMI) and acute 
      ischemic stroke (AIS) due to paradoxical embolism from a PFO are extremely rare. 
      We describe a 77-year-old woman with a past medical history of hypertension who 
      was transferred due to a sudden onset of dyspnea followed by cardiopulmonary 
      arrest. Based on the patient's medical history, transthoracic and transesophageal 
      echocardiography, coronary angiography, and a whole-body contrasted computed 
      tomography, we diagnosed concomitant APE, AMI and AIS caused by a paradoxical 
      embolism from a PFO. Appropriate knowledge of the pathophysiology of this rare 
      critical illness is important for prompt diagnosis and treatment.
CI  - (c) The Author(s) 2021. Published by Oxford University Press.
FAU - Takemoto, Kiyoshi
AU  - Takemoto K
AUID- ORCID: 0000-0001-8072-6298
AD  - Division of Critical Care Medicine, Nara Prefecture General Medical Center, Nara 
      City, Nara, 6308581, Japan.
FAU - Nakamura, Michitaka
AU  - Nakamura M
AD  - Division of Critical Care Medicine, Nara Prefecture General Medical Center, Nara 
      City, Nara, 6308581, Japan.
FAU - Atagi, Kazuaki
AU  - Atagi K
AD  - Division of Critical Care Medicine, Nara Prefecture General Medical Center, Nara 
      City, Nara, 6308581, Japan.
LA  - eng
PT  - Case Reports
DEP - 20211026
PL  - England
TA  - Oxf Med Case Reports
JT  - Oxford medical case reports
JID - 101642070
PMC - PMC8557459
EDAT- 2021/11/04 06:00
MHDA- 2021/11/04 06:01
PMCR- 2021/10/26
CRDT- 2021/11/03 06:57
PHST- 2021/06/07 00:00 [received]
PHST- 2021/07/22 00:00 [revised]
PHST- 2021/09/23 00:00 [accepted]
PHST- 2021/11/03 06:57 [entrez]
PHST- 2021/11/04 06:00 [pubmed]
PHST- 2021/11/04 06:01 [medline]
PHST- 2021/10/26 00:00 [pmc-release]
AID - omab101 [pii]
AID - 10.1093/omcr/omab101 [doi]
PST - epublish
SO  - Oxf Med Case Reports. 2021 Oct 26;2021(10):omab101. doi: 10.1093/omcr/omab101. 
      eCollection 2021 Oct.