• European heart journal · Sep 1994

    Review Case Reports

    Impending paradoxical embolism: a case report and literature review.

    • M Hargreaves, D Maloney, B Gribbin, and S Westaby.
    • Department of Cardiology, John Radcliffe Hospital, Headington, Oxford, U.K.
    • Eur. Heart J. 1994 Sep 1; 15 (9): 1284-5.

    AbstractParadoxical embolism occurs following the passage of embolic material from the venous to the arterial circulation through a right to left shunt--frequently a patent foramen ovale. The diagnosis is usually presumptive when arterial emboli occur in the appropriate clinical setting. We describe a case of impending paradoxical embolism in a patient with massive pulmonary embolism. Transoesophageal echocardiography revealed a thromboembolus straddling a patent foramen ovale. The patient underwent emergency removal of the intracardiac clot with closure of the patent foramen ovale.

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