• Ned Tijdschr Geneeskd · Feb 1995

    Case Reports

    [Trans-esophageal contrast echocardiography in suspicion of paradoxal embolism].

    • R C Welling, P M Verhorst, and O Kamp.
    • Academisch Ziekenhuis Vrije Universiteit, afd. Cardiologie, Amsterdam.
    • Ned Tijdschr Geneeskd. 1995 Feb 18;139(7):335-7.

    AbstractIn two patients, women of 35 and 74 years old, paradoxical embolism was diagnosed. Patient A presented with multiple pulmonary embolism. Transoesophageal echocardiography demonstrated a thrombus mass which protruded from the right atrium through a patent foramen ovale into the left atrium: explicit proof of the possibility of paradoxical embolism. Patient B presented with systemic arterial embolism. During hospitalisation multiple pulmonary embolism occurred. With the use of transoesophageal contrast echocardiography a patent foramen ovale was observed, the probable cause of paradoxical embolism. Both patients were treated with intravenous heparin and oral anticoagulants.

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