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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2016, Number 2

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Rev Biomed 2016; 27 (2)

Ischemic EVC and pulmonary thrombo-embolism associated to permeable foramen ovale: Case report

Miranda-Aquino T, Pérez-Topete SE

Language: Spanish
References: 11
Page: 85-89
PDF size: 419.38 Kb.


ABSTRACT

A 53-year-old woman admitted to the emergency room after sudden loss of state of alert Glasgow 3. She had a clinical history of saphenectomy two days before admission. Upon arrival, endotracheal intubation was performed and vasopressors were administered due to persistent hypotension. After a cerebral CT scan, cerebral ischemic stroke was diagnosed, and the patient was submitted to endovascular therapy. During the procedure she presents persistent desaturation despite O2 supply at 100%. A pulmonary CT scan showed pulmonary thromboembolism and a transesophageal echocardiogram was performed which demonstrated patent foramen ovale. Six hours later stem reflexes were lost, and a cranial CT scan confirmed hemorrhagic brain conversion. Brain dead was diagnosed a day later and the patient was considered for the transplant protocol surgery where kidneys, liver, bone and corneas were donated.


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