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Ann Thorac Surg 1976;22:293-295
© 1976 The Society of Thoracic Surgeons

Articles

Massive Pulmonary Embolism Permitting Paradoxical Systemic Arterial Embolism

Successful Surgical Management

Richard C. Shaw, M.D., Philip A. Ludbrook, M.D., Alan N. Weiss, M.D., Clarence S. Weldon, M.D.*

Division of Cardiothoracic Surgery, Department of Surgery, and the Division of Cardiology, Department of Medicine, Washington University School of Medicine, St Louis, MO.

Accepted for publication November 26, 1975.

* Address reprint requests to Dr. Weldon, Division of Cardiothoracic Surgery, Washington University School of Medicine, 4960 Audubon, St Louis, MO 63110.

The case of a young woman, receiving oral contraceptives, who developed massive pulmonary embolism producing circulatory collapse and paradoxical arterial embolism through a patent foramen ovale is documented. Limb viability was threatened. Emergency management included removal of arterial and pulmonary emboli, surgical closure of the patent foramen ovale, inferior caval partitioning, ovarian vein ligation, and short-term anticoagulation. Recovery was rapid and complete.




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Ann Intern Med, August 1, 1979; 91(2): 333 - 337.
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