Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/421 |
Resumo: | Paradoxical embolism commonly occurs through the passage of an embolus in the patent foramen oval during adult life, usually not previously diagnosed, being preceded by pulmonary thromboembolism and usually manifesting as a stroke. It is an uncommon condition, and even rarer when it presents as an acute arterial occlusion, as reported in this paper. In 2021, we received a 54-year-old woman at the Hospital de Clínicas de São Bernardo do Campo, victim of recent car trauma, with acute myocardial infarction, acute arterial occlusion Rutherford IIB in the lower right limb and Rutherford I in the lower left limb, venous thrombosis deep popliteal-distal right lower limb and presumed pulmonary thromboembolism. Therapy and clinical management included thromboembolectomy, full anticoagulation and dual antiplatelet therapy, as well as joint follow-up with the vascular surgery, cardiology and cardiac surgery teams. |
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Brazilian Journal of Implantology and Health Sciences |
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Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdioembolia paradoxalforame oval patenteoclusão arterial agudaisquemia de membros inferiorestrombose arterialtrombose venosa profundatromboembolectomiaParadoxical embolism commonly occurs through the passage of an embolus in the patent foramen oval during adult life, usually not previously diagnosed, being preceded by pulmonary thromboembolism and usually manifesting as a stroke. It is an uncommon condition, and even rarer when it presents as an acute arterial occlusion, as reported in this paper. In 2021, we received a 54-year-old woman at the Hospital de Clínicas de São Bernardo do Campo, victim of recent car trauma, with acute myocardial infarction, acute arterial occlusion Rutherford IIB in the lower right limb and Rutherford I in the lower left limb, venous thrombosis deep popliteal-distal right lower limb and presumed pulmonary thromboembolism. Therapy and clinical management included thromboembolectomy, full anticoagulation and dual antiplatelet therapy, as well as joint follow-up with the vascular surgery, cardiology and cardiac surgery teams.A embolia paradoxal ocorre comumente através da passagem de um êmbolo pelo forame oval patente durante a vida adulta, geralmente não diagnosticado previamente, sendo precedido por um tromboembolismo pulmonar e se manifestando usualmente como acidente vascular cerebral. É uma condição incomum, e ainda mais rara quando se apresenta como oclusão arterial aguda, conforme relatado neste trabalho. Em 2021 recebemos no Hospital de clínicas de São Bernardo do Campo, uma mulher de 54 anos, vítima de trauma automobilístico recente, apresentando infarto agudo do miocárdio, oclusão arterial aguda rutherford IIB em membro inferior direito e rutherford I em membro inferior esquerdo, trombose venosa profunda popliteo-distal de membro inferior direito e tromboembolismo pulmonar presumido. A terapêutica e o manejo clínico incluiram tromboembolectomia, anticoagulação plena e dupla antiagregação plaquetária, bem como seguimento conjunto com as equipes de cirurgia vascular, cardiologia e cirurgia cardíaca.Specialized Dentistry Group2023-08-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/42110.36557/2674-8169.2023v5n4p729-743Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 4 (2023): BJIHS QUALIS B3; 729-743Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 4 (2023): BJIHS QUALIS B3; 729-743Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 4 (2023): BJIHS QUALIS B3; 729-7432674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/421/508Copyright (c) 2023 Bruna Lustosa Ferreira, Érica Patricia Nardino, João Antônio Correahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFerreira, Bruna LustosaNardino, Érica PatricioCorrea, João Antônio2023-09-04T11:40:51Zoai:ojs.bjihs.emnuvens.com.br:article/421Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-09-04T11:40:51Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio |
title |
Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio |
spellingShingle |
Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio Ferreira, Bruna Lustosa embolia paradoxal forame oval patente oclusão arterial aguda isquemia de membros inferiores trombose arterial trombose venosa profunda tromboembolectomia |
title_short |
Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio |
title_full |
Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio |
title_fullStr |
Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio |
title_full_unstemmed |
Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio |
title_sort |
Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio |
author |
Ferreira, Bruna Lustosa |
author_facet |
Ferreira, Bruna Lustosa Nardino, Érica Patricio Correa, João Antônio |
author_role |
author |
author2 |
Nardino, Érica Patricio Correa, João Antônio |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Ferreira, Bruna Lustosa Nardino, Érica Patricio Correa, João Antônio |
dc.subject.por.fl_str_mv |
embolia paradoxal forame oval patente oclusão arterial aguda isquemia de membros inferiores trombose arterial trombose venosa profunda tromboembolectomia |
topic |
embolia paradoxal forame oval patente oclusão arterial aguda isquemia de membros inferiores trombose arterial trombose venosa profunda tromboembolectomia |
description |
Paradoxical embolism commonly occurs through the passage of an embolus in the patent foramen oval during adult life, usually not previously diagnosed, being preceded by pulmonary thromboembolism and usually manifesting as a stroke. It is an uncommon condition, and even rarer when it presents as an acute arterial occlusion, as reported in this paper. In 2021, we received a 54-year-old woman at the Hospital de Clínicas de São Bernardo do Campo, victim of recent car trauma, with acute myocardial infarction, acute arterial occlusion Rutherford IIB in the lower right limb and Rutherford I in the lower left limb, venous thrombosis deep popliteal-distal right lower limb and presumed pulmonary thromboembolism. Therapy and clinical management included thromboembolectomy, full anticoagulation and dual antiplatelet therapy, as well as joint follow-up with the vascular surgery, cardiology and cardiac surgery teams. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-08-19 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/421 10.36557/2674-8169.2023v5n4p729-743 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/421 |
identifier_str_mv |
10.36557/2674-8169.2023v5n4p729-743 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/421/508 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Bruna Lustosa Ferreira, Érica Patricia Nardino, João Antônio Correa https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Bruna Lustosa Ferreira, Érica Patricia Nardino, João Antônio Correa https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 4 (2023): BJIHS QUALIS B3; 729-743 Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 4 (2023): BJIHS QUALIS B3; 729-743 Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 4 (2023): BJIHS QUALIS B3; 729-743 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
_version_ |
1796798438360219648 |