Tromboembolismo pulmonar masivo de alto riesgo asociado a foramen oval permeable / High-risk massive pulmonary thromboembolism associated with patent foramen ovale
Medicina (B.Aires)
;
72(2): 128-130, abr. 2012. ilus
Article
in Spanish
| LILACS
| ID: lil-639664
RESUMEN
La alta mortalidad de los pacientes con tromboembolismo pulmonar masivo de alto riesgo amerita un enfoque terapéutico enérgico e invasivo que incluya la embolectomía pulmonar quirúrgica en aquellos pacientes con contraindicación para trombolisis o trombolisis fallida. Describimos un caso de tromboembolismo pulmonar masivo de alto riesgo que recibió tratamiento quirúrgico en vez de trombolisis debido a que al momento del diagnóstico presentaba un trombo móvil a través de un foramen oval permeable con altísima posibilidad de embolismo paradójico arterial.
ABSTRACT
High mortality rate associated with massive pulmonary embolism requires an aggressive invasive approach including surgical pulmonary embolectomy when thrombolytic therapy has failed or is contraindicated. We describe a case of high-risk massive pulmonary embolism who underwent surgical treatment due to the presence of a mobile intracardiac clot in a patent foramen ovale, and the possible risk of paradoxical arterial embolism.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pulmonary Embolism
/
Foramen Ovale, Patent
Type of study:
Etiology study
/
Risk factors
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Medicina (B.Aires)
Journal subject:
Medicine
Year:
2012
Type:
Article
Affiliation country:
Canada
/
Colombia
/
Peru
Institution/Affiliation country:
Hospital Español/AR
/
Kingston General Hospital/CA
/
Universidad CES/CO
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