• Asian Cardiovasc Thorac Ann · Dec 2002

    Case Reports

    Caught in the act: impending paradoxical embolism.

    • Alex M Fabricius, Martin Krüger, Michaela Hanke, and Friedrich W Mohr.
    • Division of Cardiovascular Surgery, University of Leipzig, Strümpelstrasse 39, D-04289 Leipzig, Germany.
    • Asian Cardiovasc Thorac Ann. 2002 Dec 1;10(4):342-3.

    AbstractIn a 73-year-old woman admitted with pulmonary embolism, a thrombus wedged across a patent foramen ovale was revealed by transesophageal echocardiography. After systemic anticoagulation, cardiac embolectomy and closure of the atrial septal defect were considered. Before surgery, repeat transesophageal echocardiography revealed only a small patent foramen ovale with no residual thrombus. We assumed dissolution of the thrombus as the patient had no sign of systemic or recurrent pulmonary embolism.

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