Paradoxical Cerebral Embolism Secondary to Superior Vena Cava Occlusion and Development of a Systemic Right-to-Left Shunt
Paradoxical cerebral embolism, although rare, can be secondary to acquired causes such as superior vena cava (SVC) occlusion and development of a mediastinal right-to-left shunt. Such shunts allow undisturbed passage of thromboemboli to bypass the pulmonary circulation and enter the systemic circula...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-05-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730104 |
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| author | Ronny J.D. Kuang Anna L Beale Jason E Bloom Warren Clements |
| author_facet | Ronny J.D. Kuang Anna L Beale Jason E Bloom Warren Clements |
| author_sort | Ronny J.D. Kuang |
| collection | DOAJ |
| description | Paradoxical cerebral embolism, although rare, can be secondary to acquired causes such as superior vena cava (SVC) occlusion and development of a mediastinal right-to-left shunt. Such shunts allow undisturbed passage of thromboemboli to bypass the pulmonary circulation and enter the systemic circulation. This report presents a case of paradoxical cerebral embolism due to a right-to-left shunt originating from occlusion of the SVC. The etiology of the SVC occlusion stems from a prior central venous access line used for treatment of lymphoma. The patient underwent endovascular treatment with successful coil embolization of the mediastinal shunt. |
| format | Article |
| id | doaj-art-e9b6e7cbffb749bfbc7a5e872f37ddf4 |
| institution | OA Journals |
| issn | 2456-4869 |
| language | English |
| publishDate | 2021-05-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-e9b6e7cbffb749bfbc7a5e872f37ddf42025-08-20T02:21:57ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692021-05-0150212312610.1055/s-0041-1730104Paradoxical Cerebral Embolism Secondary to Superior Vena Cava Occlusion and Development of a Systemic Right-to-Left ShuntRonny J.D. Kuang0Anna L Beale1Jason E Bloom2Warren Clements3Department of Radiology, Alfred Hospital, Melbourne, Victoria, AustraliaDepartment of Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Radiology, Alfred Hospital, Melbourne, Victoria, AustraliaParadoxical cerebral embolism, although rare, can be secondary to acquired causes such as superior vena cava (SVC) occlusion and development of a mediastinal right-to-left shunt. Such shunts allow undisturbed passage of thromboemboli to bypass the pulmonary circulation and enter the systemic circulation. This report presents a case of paradoxical cerebral embolism due to a right-to-left shunt originating from occlusion of the SVC. The etiology of the SVC occlusion stems from a prior central venous access line used for treatment of lymphoma. The patient underwent endovascular treatment with successful coil embolization of the mediastinal shunt.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730104superior vena cava obstructionright-to-left shuntembolization |
| spellingShingle | Ronny J.D. Kuang Anna L Beale Jason E Bloom Warren Clements Paradoxical Cerebral Embolism Secondary to Superior Vena Cava Occlusion and Development of a Systemic Right-to-Left Shunt Journal of Clinical Interventional Radiology ISVIR superior vena cava obstruction right-to-left shunt embolization |
| title | Paradoxical Cerebral Embolism Secondary to Superior Vena Cava Occlusion and Development of a Systemic Right-to-Left Shunt |
| title_full | Paradoxical Cerebral Embolism Secondary to Superior Vena Cava Occlusion and Development of a Systemic Right-to-Left Shunt |
| title_fullStr | Paradoxical Cerebral Embolism Secondary to Superior Vena Cava Occlusion and Development of a Systemic Right-to-Left Shunt |
| title_full_unstemmed | Paradoxical Cerebral Embolism Secondary to Superior Vena Cava Occlusion and Development of a Systemic Right-to-Left Shunt |
| title_short | Paradoxical Cerebral Embolism Secondary to Superior Vena Cava Occlusion and Development of a Systemic Right-to-Left Shunt |
| title_sort | paradoxical cerebral embolism secondary to superior vena cava occlusion and development of a systemic right to left shunt |
| topic | superior vena cava obstruction right-to-left shunt embolization |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730104 |
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