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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Main Authors: Nabil M Al Lawati, Pearce Wilcox
Format: Article
Language:English
Published: Wiley 2007-01-01
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.
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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