• Heart, lung & circulation · Feb 2014

    Case Reports

    Paradoxical embolism interrupted.

    • Ravi Desai, Bilal Ayub, and Matthew W Martinez.
    • Division of Cardiology, Department of Medicine, Lehigh Valley Health Network, 1250 S Cedar Crest Blvd., Suite 300, Allentown, PA 18103-6381, USA.
    • Heart Lung Circ. 2014 Feb 1; 23 (2): 197-8.

    AbstractA 41 year-old African-American male presented with syncope preceded by shortness of breath at outside facility and transferred to us for management of extensive pulmonary embolism with unstable vital signs. Electrocardiogram showed sinus tachycardia with S1Q3T3 pattern. A transthoracic echocardiogram revealed a freely mobile strand like mass in the left atrium. A transoesophageal echocardiogram showed a very large freely mobile thrombus extending from a patent foramen ovale in to the left atrium. He underwent emergent surgery for the extraction of clot followed by thromboembolectomy from both pulmonary arteries. He made a remarkable recovery and was discharged after seven days of hospital stay. Copyright © 2013 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

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