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Paradoxical Embolization of the Bilateral Subclavian Arteries After High Tibial Osteotomy

A patent foramen ovale provides a portal through which a thrombus might pass from the right side of the circulation to the left. A 65-year-old man underwent high tibial osteotomy after the diagnosis of the right knee osteoarthritis. On postoperative day 12, he developed bilateral arm paresthesia. En...

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Detalles Bibliográficos
Autores principales: Miyake, Takahito, Obayashi, Osamu, Kanda, Akio, Okada, Hideshi, Ogura, Shinji, Kaneko, Kazuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754217/
https://www.ncbi.nlm.nih.gov/pubmed/31592012
http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00044
Descripción
Sumario:A patent foramen ovale provides a portal through which a thrombus might pass from the right side of the circulation to the left. A 65-year-old man underwent high tibial osteotomy after the diagnosis of the right knee osteoarthritis. On postoperative day 12, he developed bilateral arm paresthesia. Enhanced CT revealed emboli in the bilateral pulmonary and subclavian arteries and deep vein thrombosis in the left lower limb. Transesophageal echocardiography after treatment revealed a patent foramen ovale during the Valsalva maneuver. It was thought that bilateral arm paresthesias were caused by the arterial emboli in the bilateral subclavian arteries.