• J Am Soc Echocardiogr · Mar 1995

    Case Reports

    Continuous monitoring by biplane transesophageal echocardiography of pulmonary and paradoxical embolism.

    • S De Castro, D Cartoni, G Conti, and S Beni.
    • Department of Clinical Medicine, La Sapienza, University of Rome, Italy.
    • J Am Soc Echocardiogr. 1995 Mar 1;8(2):217-20.

    AbstractParadoxical embolism is considered a relatively uncommon disease. Continuous biplane transesophageal echocardiography (TEE) was performed in a 64-year-old woman who had an acute pulmonary embolism. TEE showed an elongated formation highly mobile within both atria. It was trapped in the interatrial septum, passing through a patent foramen ovale. Systemic embolism of the right arm was noted. The patient died 5 hours after admission, and postmortem examination confirmed the diagnosis of pulmonary embolism. This case demonstrates the potential utility of TEE in the study of patients with suspected paradoxical embolism.

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