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Sanjay Kumar
Richard Milton
Ayyaz A. Ali
David J. O’Regan
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Ann Thorac Surg 2005;80:324-326
© 2005 The Society of Thoracic Surgeons

Case report

Pulmonary and Paradoxical Embolism in Protein C and S Deficient Patient

Sanjay Kumar, MCh, FRCS, Irfan Khan, MRCS, Richard Milton, FRCS, Ayyaz A. Ali, MRCS, David J. O’Regan, MD, FRCS C-Th*

Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Takano, Department of Surgery E-1, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan (Email: sanjaykr33{at}hotmail.com).

We document the case of a 67-year-old woman who presented with a history of right upper quadrant anopia, dyspnea, hypoxemia, and a systolic murmur. An intracardiac embolus wedged at a patent foramen ovale was successfully removed by resecting the atrial septum along with a pulmonary embolectomy on cardiopulmonary bypass. We review the literature with specific focus on the pathogenesis and acute treatment options of this life-threatening occurrence.






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Copyright © 2005 by The Society of Thoracic Surgeons.