Abstract

MIRANDA-AQUINO, Tomás  and  PEREZ-TOPETE, Silvia E. Caso de EVC isquémico y tromboembolia pulmonar asociado a foramen ovale permeable. Rev. biomédica [online]. 2016, vol.27, n.2, e00005. ISSN 2007-8447.  https://doi.org/10.32776/revbiomed.v27i2.22.

Female patient 53 years old, presented with a history of saphenectomy two days before admission. Upon arrival to the emergency room because sudden loss of status alert, Glasgow 3, endotracheal intubation is done, she had persistent hypotension with vasopressors handled. She is performed CT angiography and cerebral ischemic stroke is diagnosed, she is entered endovascular therapy, during the procedure have persistent desaturation, despite O2 supply 100%, pulmonary CT angiography was performed and was diagnosed with pulmonary embolism, transesophageal echocardiogram is made which reports patent foramen ovale. 6 hours later patient has lost stem reflexes, cranial CT is performed reporting hemorrhagic brain conversion. It is diagnosed brain dead a day later and is entered transplant protocol. Enter organ donation surgery where kidneys, liver, bone and corneas were procurement.

Keywords : ovale; Pulmonary embolism; Ischemic stroke.

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