• Am J Emerg Med · Aug 2020

    Case Reports

    Cardiopulmonary resuscitation may cause paradoxical embolism.

    • Sun Ju Kim, Yunseob Kim, Kyo Jin Ahn, and Sung Oh Hwang.
    • Department of Emergency Medicine, Yonsei University Wonju College of Medicine, 20 ilsanro, Wonju 26427, Republic of Korea.
    • Am J Emerg Med. 2020 Aug 1; 38 (8): 1701.e1-1701.e2.

    AbstractThis paper reports a case of paradoxical embolism of right heart thrombi visualized on transesophageal echocardiography during cardiopulmonary resuscitation (CPR). CPR may cause a right-to-left shunt by producing a sudden increase in right atrial pressure during the compression phase. In cardiac arrest patients with right heart thrombi who have received CPR, systemic embolization can occur owing to paradoxical embolism.Copyright © 2020 Elsevier Inc. All rights reserved.

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