Page 15 - Delaware Medical Journal - August, 2016
P. 15
CASE REPORT
with a reshaped tip in a patient with a PFO, recurrent stroke, recurrent gastrointestinal bleeding, and bilateral deep venous
CASE DESCRIPTION
was admitted to the hospital after he was involved in a motor vehicle accident. During his admission, he developed severe gastrointestinal (GI) bleeding on two occasions. He underwent
a hemi-colectomy and received a total of 20 units of packed red cells. The patient developed bilateral lower extremity deep venous
FIGURE 2
The Sheet Cross
The Atrial Septum From Right To Left Atrium Seen On Flouroscpy (A) And Transesophageal Echocardiography (B). (Abbreviations: LA: Left Atrium; RA: Right Atrium; PFO: Patent Foramen Ovale; SVC: Superior Vena Cava)
FIGURE 3
Deployment of 25-Mm Fenestrated ASD Occluder under Fluoroscopy (A) And Transesophageal Echocardiography (B). (Abbreviations: LA: Left Atrium; RA: Right Atrium; SVC: Superior Vena Cava; ASD occlude: Atrial Septal Defect occluder)
thrombosis (DVT) with multiple bilateral pulmonary emboli. Later, he developed an acute confusional state with evidence
of acute cerebellar infarct seen on MRI. A transesophageal echocardiogram (TEE) provided evidence of a patent foramen to-left shunting (Figure 1). The patient also had an occlusion of The patient was evaluated by the interventional radiology service for potential thrombectomy and venous stenting. The procedure was deferred by the interventional radiologist until after a prophylactic patent foramen ovale closure to prevent any additional paradoxical embolic events.
Del Med J | August 2016 | Vol. 88 | No. 8
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