Impending paradoxical embolism: A case report and literature review
- 1 September 1994
- journal article
- case report
- Published by Oxford University Press (OUP) in European Heart Journal
- Vol. 15 (9) , 1284-1285
- https://doi.org/10.1093/oxfordjournals.eurheartj.a060667
Abstract
Paradoxical embolism occurs following the passage of embolic material from the venous to the arterial circulation through a right to left shunt—frequently a patent foramen ovale. The diagnosis is usually presumptive when arterial emboli occur in the appropriate clinical setting. We describe a case of impending paradoxical embolism in a patient with massive pulmonary embolism. Transoesophageal echocardiography revealed a thromboembolus straddling a patent foramen ovale. The patient underwent emergency removal of the intracardiac clot with closure of the patent foramen ovale.Keywords
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