Paradoxical Embolization in an Adult Cystic Fibrosis Patient
Cystic fibrosis patients with an implantable venous access device (IVAD) and a patent foramen ovale (PFO) are at an increased risk of developing paradoxical embolism. A 33-year-old patient who had a cerebrovascular accident in the above setting is described. She had been anticoagulated because she h...
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Wiley
2007-01-01
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Series: | Canadian Respiratory Journal |
Online Access: | http://dx.doi.org/10.1155/2007/492128 |
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author | Nabil M Al Lawati Pearce Wilcox |
author_facet | Nabil M Al Lawati Pearce Wilcox |
author_sort | Nabil M Al Lawati |
collection | DOAJ |
description | Cystic fibrosis patients with an implantable venous access device (IVAD) and a patent foramen ovale (PFO) are at an increased risk of developing paradoxical embolism. A 33-year-old patient who had a cerebrovascular accident in the above setting is described. She had been anticoagulated because she had thrombosis of the tip of the indwelling catheter, and her PFO was closed percutaneuosly followed by replacement of her IVAD. She made a full neurological recovery. Echocardiography and prophylactic closure of the PFO, when present, as primary prevention for paradoxical embolism may be warranted in cystic fibrosis patients before placement of an IVAD. |
format | Article |
id | doaj-art-3fd98f2f574b469395798eb9e9082698 |
institution | Kabale University |
issn | 1198-2241 |
language | English |
publishDate | 2007-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Respiratory Journal |
spelling | doaj-art-3fd98f2f574b469395798eb9e90826982025-02-03T00:58:53ZengWileyCanadian Respiratory Journal1198-22412007-01-0114529329410.1155/2007/492128Paradoxical Embolization in an Adult Cystic Fibrosis PatientNabil M Al Lawati0Pearce Wilcox1Division of Respiratory Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDivision of Respiratory Medicine, University of British Columbia, Vancouver, British Columbia, CanadaCystic fibrosis patients with an implantable venous access device (IVAD) and a patent foramen ovale (PFO) are at an increased risk of developing paradoxical embolism. A 33-year-old patient who had a cerebrovascular accident in the above setting is described. She had been anticoagulated because she had thrombosis of the tip of the indwelling catheter, and her PFO was closed percutaneuosly followed by replacement of her IVAD. She made a full neurological recovery. Echocardiography and prophylactic closure of the PFO, when present, as primary prevention for paradoxical embolism may be warranted in cystic fibrosis patients before placement of an IVAD.http://dx.doi.org/10.1155/2007/492128 |
spellingShingle | Nabil M Al Lawati Pearce Wilcox Paradoxical Embolization in an Adult Cystic Fibrosis Patient Canadian Respiratory Journal |
title | Paradoxical Embolization in an Adult Cystic Fibrosis Patient |
title_full | Paradoxical Embolization in an Adult Cystic Fibrosis Patient |
title_fullStr | Paradoxical Embolization in an Adult Cystic Fibrosis Patient |
title_full_unstemmed | Paradoxical Embolization in an Adult Cystic Fibrosis Patient |
title_short | Paradoxical Embolization in an Adult Cystic Fibrosis Patient |
title_sort | paradoxical embolization in an adult cystic fibrosis patient |
url | http://dx.doi.org/10.1155/2007/492128 |
work_keys_str_mv | AT nabilmallawati paradoxicalembolizationinanadultcysticfibrosispatient AT pearcewilcox paradoxicalembolizationinanadultcysticfibrosispatient |