• Medicina · Jan 2006

    Case Reports

    [Impending paradoxical embolism].

    • Miguel A Veltri, Marcelo H Perez, Elias D Soloaga, Felipe J Chertcoff, Osvaldo Manuale, and Jorge E Ubaldini.
    • Servicio de Cuidados Intensivos, Hospital Británico de Buenos Aires. veltrim@intramed.net
    • Medicina (B Aires). 2006 Jan 1;66(6):558-60.

    AbstractImpending paradoxical embolism. An intracardiac thrombus traversing a patent foramen ovale is a very infrequent but potentially catastrophic complication of the thromboembolic disease. It is named "impending paradoxical embolism". We report the case of a 71-year-old Caucasian male warded in ten days after a prostatectomy because of bilateral pulmonary embolism. Diagnosis was confirmed by HCT scan and the patient received anticoagulation with heparin. A transesophageal ecocardiogram disclosed a thrombus traversing foramen ovale into the left atrium. Surgical embolectomy was performed, but the patient died shortly after surgery.

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