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- Helena Podroužková, Vladimír Horváth, Ota Hlinomaz, Jan Bedan, Miroslav Bambuch, Petr Němec, and Marek Orban.
- International Clinical Research Center, Brno, Czech Republic.
- Ann. Thorac. Surg. 2014 Dec 1;98(6):e151-2.
AbstractAn impending paradoxical embolism is a rare finding, with fewer than 200 cases being documented so far. A 68-year-old woman, who presented with 3 weeks of increasing exertional dyspnea and exercise intolerance, underwent transesophageal echocardiography with a finding of an embolus in both right and left atria. At an emergent cardiac surgery, a worm-shaped, 5-cm-long thrombus was found in the right atrium, it was protruding to left atrium through the foramen ovale. The thrombus was removed intact, and the foramen ovale was closed. By our experience, an emergent cardiac surgery should always be considered as a treatment option for impending paradoxical embolism.Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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