A case of acute pulmonary embolism and acute myocardial infarction with suspected paradoxical embolism after laparoscopic surgery

被引：26

作者：

Uchida, S ^{[1
]}

Yamamoto, M ^{[1
]}

Masaoka, Y ^{[1
]}

Mikouchi, H ^{[1
]}

Nishizaki, Y ^{[1
]}

机构：

[1] Okayama Natl Hosp, Dept Cardiol, Okayama 7008566, Japan

来源：

HEART AND VESSELS | 1999年 / 14卷 / 04期

关键词：

pulmonary embolism; acute myocardial infarction; paradoxical embolism; Patent foramen ovale;

D O I：

10.1007/BF02482307

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We describe the case of a 59-year-old Japanese man who had an acute pulmonary embolism in addition to acute myocardial infarction after a laparoscopic cholecystectomy. The posterior descending coronary artery was totally occluded, and direct percutaneous transluminal balloon angioplasty was performed. The pulmonary embolism was diagnosed by lung perfusion scanning and was treated with anticoagulant therapy. A patent foramen ovale and right-to-left atrial shunting of blood were detected by contrast transesophageal echocardiography. Paradoxical embolism is a rare complication of pulmonary embolism and may have been responsible for the acute myocardial infarction in our patient.

引用

页码：197 / 200

页数：4

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