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Multiple paradoxical embolisms caused by central venous catheter thrombus passing through a patent foramen ovale: A

Jian-Duan Li1, Nian Xu1, Qiang Zhao1

  • 1Department of Cardiology, Guangzhou Red Cross Hospital of Jinan University, Guangzhou 510235, Guangdong Province, China.

World Journal of Clinical Cases
|February 7, 2024
PubMed

Insights

Central venous catheter (CVC) thrombus can cause paradoxical embolism (PDE) in both coronary and lower limb arteries in patients with a patent foramen ovale (PFO). This case highlights the importance of considering CVCs as a source of multiple emboli.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Paradoxical embolism (PDE) is a rare event where a venous thrombus travels to the arterial circulation, typically through a right-to-left shunt.
  • Central venous catheters (CVCs) are associated with an increased risk of venous thrombosis.
  • Patent foramen ovale (PFO) is a common cardiac anomaly that can facilitate PDE.
Abstract

Keywords:
Acute myocardial infarctionCase reportCentral venous catheterParadoxical embolismPatent foramen ovale

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