Copyright © 1988 by the European Society of Cardiology.
© 1988 The European Society of Cardiology
Recurrent paradoxical embolism complicating severe thromboembolic pulmonary hypertension
Secon Departments of Internal Medicine, University of Vienna Vienna, Austria
Received 6 June 1987; revised 6 November 1987; .
Dr O. C Burghuber. Department of Medicine II, University of Vienna, Garnisongasse 13, A-1090 Vienna, Austra.
Abstract
A patient with a three-year history of recurrent pulmonary embolism is presented. Thromboembolic pulmonary hypertension was proven in the final stage of disease in the presence of repeated episodes of systemic embolic events. Paradoxical embolism was assumed to be present on the basis of blood-gas analysis and contrast echocardiography that demonstrated a right-to-left shunt at atrial level. Autopsy revealed a patent foramen ovale and provided strong evidence for the accuracy of the clinical diagnosis.
Key Words: Paradoxical embolism foramen ovale thromboembolic pulmonary hypertension
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