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J Comput Assist Tomogr · Jul 2015
Case ReportsClot Through the Heart: Paradoxical Embolism With Thrombus-in-Transit at Multidetector Computed Tomography.
- Joseph R Leach, Brett Elicker, Judy Yee, Shilpa Puppula, Judith A Wisneski, and Benjamin M Yeh.
- From the Departments of *Radiology and Biomedical Imaging and †Cardiology, University of California San Francisco, San Francisco, CA.
- J Comput Assist Tomogr. 2015 Jul 1; 39 (4): 598-600.
AbstractWe present the case of a 67-year-old man with concomitant stroke and pulmonary embolism 1 day after radiofrequency catheter ablation for refractory atrial tachycardia. A chest computed tomographic angiogram revealed "thrombus-in-transit" across a patent foramen ovale, confirming the diagnosis of paradoxical embolism. Paradoxical embolism is a rare definitive diagnosis. Our case is a key demonstration of the even rarer instance where such a diagnosis is confirmed at multidetector computed tomography.
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