Transesophageal Echocardiographically-Confirmed Pulmonary Vein Thrombosis in Association with Posterior Circulation Infarction.

Hdl Handle:
http://hdl.handle.net/10147/253619
Title:
Transesophageal Echocardiographically-Confirmed Pulmonary Vein Thrombosis in Association with Posterior Circulation Infarction.
Authors:
Kinsella, Justin A; Maccarthy, Allan J; Kiernan, Thomas J; Moore, David P; McDermott, Raymond S; McCabe, Dominick J H
Affiliation:
Department of Neurology, The Adelaide and Meath Hospital, incorporating the National Children's Hospital, Trinity College Dublin, Dublin, Ireland.
Citation:
Transesophageal Echocardiographically-Confirmed Pulmonary Vein Thrombosis in Association with Posterior Circulation Infarction. 2010, 2 (1):24-31 Case Rep Neurol
Publisher:
Case reports in neurology
Journal:
Case reports in neurology
Issue Date:
2010
URI:
http://hdl.handle.net/10147/253619
DOI:
10.1159/000313599
PubMed ID:
20689631
Abstract:
Pulmonary venous thromboembolism has only been identified as a cause of stroke with pulmonary arteriovenous malformations/fistulae, pulmonary neoplasia, transplantation or lobectomy, and following percutaneous radiofrequency ablation of pulmonary vein ostia in patients with atrial fibrillation. A 59-year-old man presented with a posterior circulation ischemic stroke. 'Unheralded' pulmonary vein thrombosis was identified on transesophageal echocardiography as the likely etiology. He had no further cerebrovascular events after intensifying antithrombotic therapy. Twenty-eight months after initial presentation, he was diagnosed with metastatic pancreatic adenocarcinoma and died 3 months later. This report illustrates the importance of doing transesophageal echocardiography in presumed 'cardioembolic' stroke, and that potential 'pulmonary venous thromboembolic' stroke may occur in patients without traditional risk factors for venous thromboembolism. Consideration should be given to screening such patients for occult malignancy.
Item Type:
Article
Language:
en
ISSN:
1662-680X

Full metadata record

DC FieldValue Language
dc.contributor.authorKinsella, Justin Aen_GB
dc.contributor.authorMaccarthy, Allan Jen_GB
dc.contributor.authorKiernan, Thomas Jen_GB
dc.contributor.authorMoore, David Pen_GB
dc.contributor.authorMcDermott, Raymond Sen_GB
dc.contributor.authorMcCabe, Dominick J Hen_GB
dc.date.accessioned2012-11-28T11:17:12Z-
dc.date.available2012-11-28T11:17:12Z-
dc.date.issued2010-
dc.identifier.citationTransesophageal Echocardiographically-Confirmed Pulmonary Vein Thrombosis in Association with Posterior Circulation Infarction. 2010, 2 (1):24-31 Case Rep Neurolen_GB
dc.identifier.issn1662-680X-
dc.identifier.pmid20689631-
dc.identifier.doi10.1159/000313599-
dc.identifier.urihttp://hdl.handle.net/10147/253619-
dc.description.abstractPulmonary venous thromboembolism has only been identified as a cause of stroke with pulmonary arteriovenous malformations/fistulae, pulmonary neoplasia, transplantation or lobectomy, and following percutaneous radiofrequency ablation of pulmonary vein ostia in patients with atrial fibrillation. A 59-year-old man presented with a posterior circulation ischemic stroke. 'Unheralded' pulmonary vein thrombosis was identified on transesophageal echocardiography as the likely etiology. He had no further cerebrovascular events after intensifying antithrombotic therapy. Twenty-eight months after initial presentation, he was diagnosed with metastatic pancreatic adenocarcinoma and died 3 months later. This report illustrates the importance of doing transesophageal echocardiography in presumed 'cardioembolic' stroke, and that potential 'pulmonary venous thromboembolic' stroke may occur in patients without traditional risk factors for venous thromboembolism. Consideration should be given to screening such patients for occult malignancy.en_GB
dc.languageENG-
dc.language.isoenen
dc.publisherCase reports in neurologyen_GB
dc.rightsArchived with thanks to Case reports in neurologyen_GB
dc.titleTransesophageal Echocardiographically-Confirmed Pulmonary Vein Thrombosis in Association with Posterior Circulation Infarction.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Neurology, The Adelaide and Meath Hospital, incorporating the National Children's Hospital, Trinity College Dublin, Dublin, Ireland.en_GB
dc.identifier.journalCase reports in neurologyen_GB
dc.description.provinceLeinsteren

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