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Paradoks embolisering hos en patient med lungeemboli og uerkendt persisterende foramen ovale

Forfatter(e)

Alexander Skovbæk Berkfors1, Mads Wissenberg1, Mark Aplin1, Redi Pecini2 & Johannes Grand1

1) Kardiologisk Afdeling, Københavns Universitetshospital – Bispebjerg Hospital, 2) Kardiologisk Afdeling, Københavns Universitetshospital – Rigshospitalet

Ugeskr Læger 2021;183:V09200655

Reference: 
UgeskrLæger 2021;183:V09200655
Blad nummer: 
Paradox embolism in a patient with pulmonary embolism and unknown patent foramen ovale

Alexander Skovbæk Berkfors, Mads Wissenberg, Mark Aplin, Redi Pecini & Johannes Grand

UgeskrLæger 2021;183:V09200655

This case report describes a 64-year-old male patient, who presented with sudden onset dyspnoea. A chest CT-angiography revealed the presence of central bilateral pulmonary embolisms (PE), and he was admitted for anticoagulative treatment. Shortly after admission, he developed discomfort and pulselessness in the right leg, and a limb CT-angiography revealed a femoral artery thrombus. PE in conjunction with acute limb ischaemia raised suspicion of a paradoxical mechanism of systemic embolism, which was confirmed by echocardiography with thrombus straddling a patent foramen ovale.

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