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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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:
Case Report
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
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author Miyake, Takahito
Obayashi, Osamu
Kanda, Akio
Okada, Hideshi
Ogura, Shinji
Kaneko, Kazuo
author_facet Miyake, Takahito
Obayashi, Osamu
Kanda, Akio
Okada, Hideshi
Ogura, Shinji
Kaneko, Kazuo
author_sort Miyake, Takahito
collection PubMed
description 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.
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spelling pubmed-67542172019-10-07 Paradoxical Embolization of the Bilateral Subclavian Arteries After High Tibial Osteotomy Miyake, Takahito Obayashi, Osamu Kanda, Akio Okada, Hideshi Ogura, Shinji Kaneko, Kazuo J Am Acad Orthop Surg Glob Res Rev Case Report 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. Wolters Kluwer 2019-08-06 /pmc/articles/PMC6754217/ /pubmed/31592012 http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00044 Text en Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Miyake, Takahito
Obayashi, Osamu
Kanda, Akio
Okada, Hideshi
Ogura, Shinji
Kaneko, Kazuo
Paradoxical Embolization of the Bilateral Subclavian Arteries After High Tibial Osteotomy
title Paradoxical Embolization of the Bilateral Subclavian Arteries After High Tibial Osteotomy
title_full Paradoxical Embolization of the Bilateral Subclavian Arteries After High Tibial Osteotomy
title_fullStr Paradoxical Embolization of the Bilateral Subclavian Arteries After High Tibial Osteotomy
title_full_unstemmed Paradoxical Embolization of the Bilateral Subclavian Arteries After High Tibial Osteotomy
title_short Paradoxical Embolization of the Bilateral Subclavian Arteries After High Tibial Osteotomy
title_sort paradoxical embolization of the bilateral subclavian arteries after high tibial osteotomy
topic Case Report
url 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
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