Archives des maladies du coeur et des vaisseaux
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Arch Mal Coeur Vaiss · Jun 1994
Case Reports[Paradoxical embolism of the aortic arch diagnosed by transesophageal echocardiography. Surgical treatment].
The authors report the case of a woman who presented with a pulmonary embolism followed by systemic embolism. Transoesophageal echocardiography showed a persistent foramen ovale compatible with a possible paradoxical embolism. ⋯ This embolism was extracted under cardiopulmonary bypass to avoid a recurrence of embolism. Transoesophageal echocardiography is the only reliable, non-invasive method allowing simultaneous diagnosis of a right to left shunt and visualisation of the thoracic aorta.