[Trans-esophageal contrast echocardiography in suspicion of paradoxal embolism].
In two patients, women of 35 and 74 years old, paradoxical embolism was diagnosed. Patient A presented with multiple pulmonary embolism. Transoesophageal echocardiography demonstrated a thrombus mass which protruded from the right atrium through a patent foramen ovale into the left atrium: explicit proof of the possibility of paradoxical embolism. Patient B presented with systemic arterial embolism. During hospitalisation multiple pulmonary embolism occurred. With the use of transoesophageal contrast echocardiography a patent foramen ovale was observed, the probable cause of paradoxical embolism. Both patients were treated with intravenous heparin and oral anticoagulants.
Welling
R C
RC
Academisch Ziekenhuis Vrije Universiteit, afd. Cardiologie, Amsterdam.
Verhorst
P M
PM
Kamp
O
O
D000328:Adult; D000368:Aged; D017548:Echocardiography, Transesophageal / Q000379:methods*; D017128:Embolectomy; D004617:Embolism / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D005263:Femoral Artery; D006325:Heart Atria / Q000000981:diagnostic imaging; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007866:Leg / Q000098:blood supply; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000209:etiology
Transoesofageale contrast-echocardiografie bij vermoeden van paradoxe embolie.