Cerebrovascular diseases in patients with Klippel-Trenaunay Syndrome (KTS) are uncommon, and the mechanism of stroke has remained elusive. We describe a patient with KTS who experienced a transient ischemic attack (TIA). Contrast-transcranial Doppler with the Valsalva maneuver revealed a right-to-left shunt and contrast-transesophageal echocardiography confirmed patent foramen ovale. Ultrasonography revealed dilated superficial and deep veins in the lower extremities; the D-dimer level was high and indicated hypercoagulability. Therefore, the mechanism of TIA was diagnosed as paradoxical embolism. To the best of our knowledge, this is the first case report of paradoxical embolism in a patient with KTS.
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Department of Pathology, Lady Hardinge Medical College, Smt. Sucheta Kriplani Hospital
Department of Pathology, H. No. 118, Sector 15-ADepartment of Pathology, Lady Hardinge Medical College, Smt. Sucheta Kriplani Hospital
Sethi S.
Shubha B.S.
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Department of Pathology, Lady Hardinge Medical College, Smt. Sucheta Kriplani HospitalDepartment of Pathology, Lady Hardinge Medical College, Smt. Sucheta Kriplani Hospital
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Stanford Univ, Dept Radiol, Sch Med, 453 Quarry Rd,324-7, Palo Alto, CA 94304 USAStanford Univ, Dept Radiol, Sch Med, 453 Quarry Rd,324-7, Palo Alto, CA 94304 USA
Turner, Valery L.
Kearns, Cilein
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Med Res Inst New Zealand, Wellington, New Zealand
Artibiotics, Wellington, New ZealandStanford Univ, Dept Radiol, Sch Med, 453 Quarry Rd,324-7, Palo Alto, CA 94304 USA
Kearns, Cilein
Wattamwar, Kapil
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Montefiore Med Ctr, Dept Radiol, Div Vasc & Intervent Radiol, Bronx, NY USAStanford Univ, Dept Radiol, Sch Med, 453 Quarry Rd,324-7, Palo Alto, CA 94304 USA
Wattamwar, Kapil
McKenney, Anna Sophia
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NewYork Presbyterian Weill Cornell Med, Dept Radiol, Div Intervent Radiol, New York, NY USAStanford Univ, Dept Radiol, Sch Med, 453 Quarry Rd,324-7, Palo Alto, CA 94304 USA