Paradoxical brain embolism caused by an arterial−venous fistula: a diagnostic pitfall

被引:0
|
作者
Piergiorgio Lochner
Frediano Tezzon
Rafaelle Nardone
Christian Tanislav
机构
[1] University Hospital Giessen,Department of Neurology
[2] Franz Tappeiner Hospital,Department of Neurology
来源
Neurological Sciences | 2010年 / 31卷
关键词
Patent foramen ovale; Arterial–venous fistula; Paradoxical embolism; Transesophageal echocardiography; Contrast-enhanced transcranial Doppler/Duplex ultrasonography;
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学科分类号
摘要
The transesophageal echocardiography (TEE) and contrast-enhanced transcranial Doppler/Duplex ultrasonography (ceTCD) are complementary methods for diagnosing a right to left shunt across a patent foramen ovale. We report on a case of paradoxical embolism across a subclavian arterial–venous fistula. This case underlines the necessity of performing the ceTCD, as in this condition the right to left shunt could be detected by means of ceTCD, whereas the TEE reveals regular findings.
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页码:341 / 343
页数:2
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